There are multiple dilated small intestinal loops in the central abdomen. Although there is collapse of the mid to distal ileum, a definite transition point is difficult to distinguish.
Colonic loops are normal in calibre. No soft tissue mass or concentric mural thickening is identified.
Fluid is demonstrated in the hepatorenal recess, right paracolic gutter and between dilated small intestinal loops in the major pelvis.
No free gas is identified. No enlarged retroperitoneal or mesenteric lymph nodes. The liver, spleen, kidneys, adrenal glands, pancreas and gallbladder are normal in appearance. Fibroid uterus. NGT and IDC in situ.
Mechanical small bowel obstruction at the level of the mid ileum in the left iliac fossa, ? adhesive.