Case of the week 6

This week's case is an enhanced CT of the abdomen and pelvis in a 49 year old man with cirrhosis, history of prior bowel obstruction, and abdominal pain.

The study was interpreted as "small bowel obstruction" by an abdominal-trained radiologist.

What are the relevant findings?

What would be your diagnosis? Is this more than just a small bowel obstruction?

Below are static images highlighting important findings

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