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Fig. 6 —31-year-old woman with acute onset of mid upper abdominal pain and intestinal obstruction after blunt trauma. On volume-rendered image after ingestion of diluted water-soluble oral contrast medium, abrupt luminal narrowing (thin arrows) with distended proximal bowel loops is clearly identified in duodenum (D). Adjacent perienteric hematoma (H) is also shown with segmental duodenal wall thickening and perienteric infiltration (arrowheads) indicating posttraumatic change. Opacification of distal bowel loops also suggests incomplete bowel obstruction (thick arrow). S = stomach.