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.
Questions
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