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Fig. 9. 50-year-old woman with nonbilious emesis and colicky
abdominal pain. Coronal reformation of MDCT scan obtained with oral contrast
material shows dilated and thick-walled bowel (arrows) in mid
abdomen. Other loops of bowel are normal and filled with contrast material.
Note loculated right subphrenic fluid (arrowheads). At exploratory
laparotomy, ischemic bowel (caused by closed-loop obstruction from volvulus)
was resected.