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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.