Gross distension of the rectum, sigmoid and distal descending colon due to faecal material, in the setting of long-standing colonic dilatation. Gaseous distension of the small bowel. The rectum, sigmoid colon and descending colon are grossly distended with low density faecal material. The rectum measures 8.5 cm in transverse dimension. Nasogastric tube in situ, the tip within the stomach. Abnormal location of the duodenum which curves to the right side of the abdomen rather than crossing the midline. Gaseous distension of the centrally located bowel loops, likely small bowel. Small bowel is difficult to assess further.
Abnormal location of the duodenum with possible congenital midgut malrotation.