No liquid content in cecum (white arrowhead) in Fig.15 and Fig.16, massive ascites (reference mark in Fig.1, Fig.24 and Fig.25), mesenteric stranding (black arrowhead in Fig.13-Fig.16) and distended, mostly gasless small bowel located in dorsal side, 4 findings are highly suggestive of strangulated obstruction. On tracing starting from Fig.23, loops obstruct at J of Fig.13 and 15 of Fig.14 indicating closed loop obstructing at black arrow of Fig.13. There is a collapsed small bowel (SB), and circle number 14 of Fig.2 from circle number 1 of Fig.12 represent simple obstruction of oral side. Du:duodenum. In face of massive ascites, sufficient enhancement of wall manifests viable loops. Immediate surgery confirmed above findings with viable strangulation of 80cm jejunum by an adhesive band.
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