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There is distension of multiple small bowel loops noted within the central abdomen. Dilated loops of bowel can be tracked into the left pelvis, where there is an abrupt calibre change. A loop of bowel passes through the obturator canal and there is incarceration noted at this site. There is diverticular disease in the large bowel. There is no free gas in the abdomen.
Impression: Acute small bowel obstruction, secondary to an incarcerated left sided obturator hernia