Diffuse loops of dilated and obstructed proximal small bowel with closed loop/mushroom configuration. Two adjacent transition points entering and exiting the closed loop, best seen on sagittal reformats. Significant amount of mesenteric fluid.
The proximal half of dilated small bowel loops (jejunum) appears to have marked reduction in its bowel wall enhancement, highly suspicious of bowel ischaemia.
No pneumoperitoneum, intramural gas or portal venous gas.
The distal ileum and colon are mostly collapsed.
Large degree of ascites.