Small bowel obstruction

Case contributed by Mohammad Taghi Niknejad
Diagnosis certain

Presentation

Distended abdomen and vomiting.

Patient Data

Age: 60 years
Gender: Female
x-ray

Multiple dilated gas-filled loops of small bowel throughout the abdomen. The valvulae conniventes are beautifully illustrated, indicating small bowel. Air-fluid levels are also observed in the erect radiograph.

Case Discussion

Typical appearance of small bowel obstruction on plain radiography. Main findings including dilated bowel loops and air-fluid levels predominantly in central portions of abdomen. The valvulae conniventes can be identified across the full width of the dilated loops confirming it to be small bowel.

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