A thin enhancing collection containing fluid mixed with air mottling within the inferior right hemipelvis.It lies adjacent to the distal ileum and recto-simoid pouch. Moreover, the adjacent ileal segment shows mural disruption (discontinuity) denoting bowel perforation. Another similar pocket is seen at the right paramedian plane of the lower abdomen at the level of the iliac crest related to a suspected small bowel perforation.Diffuse omental fat stranding (dirty mesentry). Multiple segmental ileal loops narrowing are seen. Dilated small bowel from the proximal jejunum to the ileum showing multiple segments of diffuse wall thickening and oedema (skip lesions) accompanied by wall enhancement. Associated free turbid peritoneal fluid on all peritoneal recesses as well as scattered free air vacuoles (pneumoperitoneum).