A Fatal Twist: Volvulus of the Small Intestine in a 46-Year-Old Woman

Figure 2

(a) Transmural vascular congestion and extensive hemorrhage. (b) Smooth muscle fibers in the muscularis propria split and fragmented, with strands of myocyte cytoplasm floating in extravasated blood. (c) Focally, only a thin layer of muscularis propria remains beneath the serosa.

(a)

(b)

(c)