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(a) An axial slice from the CT scan demonstrating dilated loops of small bowel (white arrow), collapsed terminal ileum (white arrowhead) and appendicoliths (black arrow). (b) Corresponding coronal plane reformatted image from the CT study demonstrating dilated loops of small bowel (white arrow), collapsed terminal ileum (white arrowhead) and appendicoliths (black arrow).
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There were multiple dilated loops of small bowel (Fig. 1) with an unclear transition point but it appeared to definitely involve distal small bowel in the pelvis. The terminal ileum and appendix looked of normal calibre, though the latter demonstrated several appendicoliths (Fig. 1) together with some mild inflammatory change in the right paracolic gutter and pelvis.