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Fig. 15. —46-year-old woman with pain and distention 18 months after bypass surgery. Transverse CT scan shows cluster of mildly dilated small-bowel segments (S) adjacent to left abdominal wall anterior to jejunojejunal anastomosis (curved arrow) with engorgement and crowding of mesenteric vessels (straight arrow). Internal hernia through small-bowel mesentery was diagnosis. More caudal section (not shown) revealed no omental fat between small-bowel cluster and abdominal wall.