Small bowel loops appear clustered and positioned in the left anterior pararenal space, located posterior to the inferior mesenteric vein and ascending branch of the left colic artery.
The right side is largely devoid of small bowel loops. This is compatible with left para duodenal internal herniation.
Mild mesenteric fat stranding and congestion are noted at the site of hernia.
Bowel wall enhancement is normal with no evidence of bowel ischaemia. No bowel obstruction.
No free fluid or free gas is seen in the abdomen and pelvis.
Large bowel appears unremarkable.
Uterus is greatly enlarged presumably due to multiple fibroids.
Urinary bladder is moderate to grossly distended and deviates to the left iliac fossa due to enlarged uterus.