The CT scan shows:
- distended colon filled with faeces
- large rectal faecaloma with mural thickening
- focal perforation of the right lateral wall of the sigmoid colon (15 mm) with adjacent extraluminal collection (gas/faeces) as well as perisigmoid free air and fat stranding.
- other findings:
- left femoral neck fracture
- thrombosis of the common femoral veins (certainly due to the prolonged immobilisation)
- partially thrombosed aneurysm of the splenic artery