PMC10319287_01
Distended large bowel segments and distal small bowel with visible fecal matter.
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Emergency abdominal plain radiography was the next step, which showed distended large bowel segments and distal small bowel with visible fecal matter distal to the descending colon with 2 air-fluid levels (Figure 1). 
Gross operative view of volvulus.
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So the ascending colon was resected along with the transverse colon to perform a standard extended right hemicolectomy and ilio-transverse colon anastomosis. (Figure 2) Additionally, around one litre of hemorrhagic fluid was evacuated from the peritoneal cavity.