Dilation of the stomach and small bowel with the gradation of oral contrast density into fluid density in the pelvis. Fecalized distal small bowel leading into a transition point with abrupt narrowing, with decompressed and somewhat clustered distal small bowel in the pelvis and small adjacent ascites. The distal small bowel remains decompressed and tracing it distally to the cecum there is gentle angulation and narrowing of the terminal ileum at the presumed site exiting the internal hernia (note how this is adjacent to the first transition point). Also labeled on coronal images - IN and OUT.