This exhibit shows the anterior view of the abdomen with an ischemic jejunum. This patient presents with a biliopancreatic limb that is kinked, a twisted roux limb, ischemia, and a herniated mesentery. Surgical intervention is required for these conditions and requires various procedures. First, the roux limb is divided from the jejunojejunal anastomosis. The mesentery is then transected in order to perform a gastrotomy in the remnant stomach with a bovie. Finally, a foley catheter is placed.
