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Fig. 1B. 50-year-old woman with strangulating small-bowel obstruction
and infarction. Contrast-enhanced CT scan slightly more caudal reveals that
wall of ischemic dilated loops is not clearly visible (white
arrowheads), and proximal collapsed loops enhance normally (black
arrowheads). Patient underwent surgery 24 hr later; she had complete
volvulus of distal meter of small bowel caused by tight adhesive band. One
meter of necrotic small bowel was resected.