Fig. 5

A thirty-nine-year-old male patient presented 2 years post-Roux-en-Y gastric bypass by abdominal pain and vomiting. a, b Axial MSCT shows dilatation of some of the proximal jejunal loops with a mild thickened wall (white arrow) associated with a right para-central whirling appearance of the mesenteric structures (gray arrow), below the origin of the superior mesenteric artery. Diagnosis: internal hernia with proximal bowel obstruction post-RYGB