Presentation
Vomiting for 2-3 days. P/H/O two laparotomies
Patient Data
Multiple air-fluid levels of small bowel morphology, in favour of small bowel obstruction. String of pearls sign present favour fluid distended loop.
Gas in the peripheral part of right lobe liver in portal venous branches demonstrating portal venous gas. Vascularity was present in dilated small bowel. A point of transition from dilated to collapsed loop was noted just below umbilicus. No mass could be localised here.
Case Discussion
Surgery after 1 hour confirmed findings of small bowel obstruction. Bowel was viable. An adhesion band was present at the point of transition, which was then released.