Fig. 1

Initial imaging with abdominal plain film demonstrated dilated loops of bowel measuring over 4 cm in diameter representing ileus versus an obstruction (A). This was confirmed on cross-sectional computed tomography imaging without contrast. On axial (B) and coronal (C) images showing dilated loops of small bowel measuring up to 4.3 cm (filled yellow arrows) with multilevel differential air fluid levels (filled orange arrows) consistent with small bowel obstruction (SBO). A left abdominal soft tissue mass lesion was observed in the left renal fossa. (filled black arrow)