Fig. 4From: Value of contrast-enhanced multidetector computed tomography in imaging of symptomatic patients after laparoscopic Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomyA forty-two-year-old male patient presented 2 years post-Roux-en-Y gastric bypass by abdominal pain and vomiting. a–c MSCT axial. d Coronal reformatted images showed the whorly appearance of the nearby mesentery with converging vessels at an orifice and reversal of the mesenteric artery and vein relation (paraduodenal hernia), multiple enlarged mesenteric and para-aortic lymph nodes are seen. UGSI shows no abnormality. MSCT diagnosis, paraduodenal internal herniaBack to article page