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Fig. 12C. —23-year-old man with acute abdominal pain from malrotation with internal hernia and partial midgut volvulus. Axial contrast-enhanced CT scans show dilated duodenum (D, A), small whirl sign involving more distal superior mesenteric artery (arrowheads, B), and malpositioning of bowel. Localized cluster of unopacified bowel or fluid is present inferiorly (arrows, C). Internal hernia with encapsulated appearance was found at surgery.





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