suggestive of right paraduodenal internal mesenteric hernia complicated with segmental bowel ischem

Abnormal clustering of small bowel loops in the right upper quadrant, anterior pararenal space (inferior to D3 segment of duodenum) demonstrating segmental mural thickening with multiple tiny extraluminal air loculi concentrated in the adjoining mesenteric with extensive surrounding mesenteric fat stranding – suggestive of right paraduodenal internal mesenteric hernia complicated with segmental small bowel ischemia

Trace interloop fluid in this region

The duodenojejunal junction to the left of midline with normal SMA, SMV relationship.

Recommend clinical correlation, follow up