A 46-year-old man presented to the surgical emergency department with a 4-week history of increasing abdominal pain. Physical examination revealed tenderness in the right lower quadrant of the abdomen. There was no leukocytosis present and no elevated levels of C-reactive protein.An ultrasonographic (US) examination was performed as part of the work-up. Because a structure suggestive of an internal hernia was seen on US images, abdominal computed tomography (CT) was subsequently performed. ©