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Fig. 15 | Insights into Imaging

Fig. 15

From: Imaging the postoperative patient: long-term complications of gastrointestinal surgery

Fig. 15

a, b Abdominal CT of a patient with progressively worsening abdominal pain, nausea and vomiting who had undergone Billroth II partial gastrectomy for gastric carcinoma 5 years earlier. There is marked fluid-filled dilation of the duodenum (stars in a), associated with gallbladder distension (arrow in a) and intrahepatic and extrahepatic biliary dilation (arrowheads in a, b), caused by an internal hernia with volvulus as shown by the twisted configuration of the bowel loops at the left upper quadrant (arrow in b). The ascites (curved arrow in a) suggests supervened ischemia

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