Sigmoid volvolus- Adrenals normal!

Grossly dilated sigmoid colon with inverted appearance Fluid–air levels within sigmoid loop Displacement of sigmoid to right side of abdomen Loss of haustrations in sigmoid Dilated rectum and proximal descending colon with air-fluid levels Collapsed distal colon from mid-descending to cecum given in ct scan Bird beak configuration implied at descending-sigmoid junction Mass effect over adjacent small bowel loops Mesenteric fat stranding and mild free fluid (ascites) in abdomen/pelvis Mild bowel wall edema seen (suggestive of early ischemia or venous congestion) Small gastroesophageal hiatus hernia with edematous thickening Small epigastric hernia (2.5 x 5.0 cm) with fat + few small bowel loops Gall bladder distended, no calculi Generalised anascara Low albumin 2.2 Give suggestion for surgery as very risky for her Diffuse liver hypoattenuation (possible perfusion-related or fatty changes) No pneumoperitoneum or perforation Both kidneys, pancreas, spleen, adrenals normal