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Fig. 5 —34-year-old woman with internal hernia. CT sign, distal tubular mesentery with surrounding loops of small bowel. Enhanced transverse CT scan at level of loops of small bowel shows round appearance of distal mesenteric fat (arrows) with small-bowel loops completely surrounding this region. Similar appearance was present on adjacent images (not shown) and was consistent with tubular twisted shape of distal mesenteric fat.