Adhesional small bowel obstruction
Severe epigastric pain. Recent hemicolectomy.
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Dilated loops of small bowel centrally with multiple air-fluid levels and string of pearls sign on the erect projection.
3 case question available
CT (not shown) confirmed small bowel obstruction most likely from adhesions with a transition point near the colonic anastomosis. Adhesions are the most common cause of small bowel obstruction.
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