Abdominal distention and constipation
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Main findings on abdominal radiograph is hugely distended large bowel with a sigmoid loop taking up most of the abdominal space. Other distended large bowel loops adjacent and displaced to patient's left flank.
Apex of this volvulus reaches the right hemidiaphragm in keeping with Chiladiti syndrome. No evidence of perforation.
Incidental fracture of right humeral neck, healed in poor position.