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Fig. 3. —12-year-old girl presenting with feeding intolerance and abdominal distention. Patient had undergone previous Nissen fundoplication and spinal instrumentation, which produced artifact. CT scan shows several localized mildly dilated air-filled small-bowel loops resulting from compression and entrapment by adhesive bands. Note typical hairpin appearance of bowel loop (arrows) frequently seen in closed-loop obstruction. Diagnosis of obstruction was missed by both interpreters.

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