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The liver, spleen, pancreas, gallbladder, kidneys and adrenal glands all have a normal appearance.
Colon in the left lower quadrant is surrounded by mild fat stranding and is relatively thick-walled compared to other colon. More inferiorly there is mesenteric hyperdensity (50HU) extending inferiorly. Atypical position of the caecum in the midline with colon predominantly on the left and duodenum does not pass the midline with small bowel being present on the right; reversed SMA/SMV relationship. Small volume of pelvic free fluid. No free gas.
Anterior pelvic subcutaneous fat stranding. No pelvic fracture identified.
Appearances of bowel in the left lower quadrant and pelvic free fluid are suspicious for large bowel injury. Probable mesenteric haematoma. Note, there is intestinal malrotation.