A 54-year-old man presented with several episodes of acute small bowel obstruction, all of which resolved in a short time. He had had a prior episode of acute intra-abdominal bleeding requiring laparotomy. The finding at that time was a bleeding gastroepiploic artery.
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CT scan showed a complex of vessels on the left side of the abdomen suggestive of volvulus, although not a classic whirlpool sign. The patient was taken to the operating room for laparoscopic exploration. A 12mm Hasson cannula was placed on the right side between the costal margin and the anterior superior iliac spine.
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