Fig. 4From: Right-side fixation of the sigmoid colon causing internal herniation with closed-loop obstruction of both small and large bowel: a case report and review of the literatureIntraoperative images: a ileal loop and sigmoid colon in the hernia breach. b Ileal loop was extracted from the hernia breach, and the sigmoid colon was carefully extracted. c Complete extraction of sigmoid colon shows fixation with the retroperitoneum (1) sigmoid colon; (2) incarcerated ileal loop; (3) adhesions between ascending colon and abdominal wall; (4) ascending colon; (5) adhesions between sigmoid colon and right peritoneum; (6) hernial breach. S cranial, I caudal, L left, R rightBack to article page