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Within the left abdomen, there is a long segment of small bowel intussusception with the upstream small bowel fluid filled and dilated. The intussusceptum is thickened and oedematous, and there is a short segment of the intussusceptum that is non-enhancing, representing ischaemia/infarction.
Small bowel mesenteric fat and vessels are appreciated being pulled in along with the intussusceptum. No lead point mass is confidently identified. The anastomotic suture ring of the intussuscipiens does not appear to be the lead point.
Evidence of previous gastrojejunostomy and entero-enterostomy. There is a small pocket of free intraperitoneal fluid lying anterior to the point of intussusception. No pneumatosis intestinalis or portal venous gas identified.