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Click 51 year old male with closed loop bowel obstruction secondary to internal hernia. Axial contrast enhanced CT demonstrating edema in the mesentery, dilated loops of small bowel and left sided bowel wall thickening suggestive of ischemia. Note the positive ``mushroom sign``.

Click 51 year old male with closed loop bowel obstruction secondary to internal hernia. Coronal reformatted contrast enhanced CT demonstrating edema in the mesentery, dilated loops of small bowel and left sided bowel wall thickening suggestive of ischemia. Note the positive ``mushroom sign``.