I am a bit worried about this as I almost died from sepsis last year.  What does it indicate?

CT Abdomen and pelvis with contrast Clinical Question:R/O bowel obstruction - distended abdomen, multiple episodes of vomiting and diarrhea, multiple abdominal surgeries including stoma reversal Findings: Comparison with a previous CT scan dated 14/06/2023. Previous right hemicolectomy & reversal of the ileostomy is noted. There are few matted and mildly distended distal ileal loop which appear tethered to the anterior abdominal wall. There is a smooth tapering of the bowel loops with collapsed proximal small bowel/stomach. The residual colon is minimally distended fluid-filled (~5 cm) , apparent asymmetrical thickening of the distal rectum/anorectal junction is noted. There is a sliver of subcutaneous fluid collection in the right mid anterior abdominal wall. No enlarged mesorectal nodes. No abdominopelvic lymphadenopathy. No gross abnormality in the solid upper abdominal organs, hepatic steatosis is noted. Kidneys are not obstructed. Dependent changes in the lung bases. No suspicious bony lesion. Deficiency of the left gluteal muscles with a some subcutaneous stranding likely due to previous intervention Conclusion: - Appearances are in keeping with lowgrade adhesional small bowel obstruction involving the distal ileal loops as described above. No vascular compromise. - Subtle asymmetrical thickening of the rectum/ano-rectal junction, flexible sigmoidoscopy is advised.