The main findings on the abdominal radiograph are hugely distended large bowel with a sigmoid loop taking up most of the abdominal space. Other distended large bowel loops adjacent and displaced to the patient's left flank.
The 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.