Presentation
Vomiting for 2-3 days. P/H/O two laparotomies
Patient Data
Age: 65 years
Gender: Male
From the case:
Small bowel obstruction - string of pearls sign
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Multiple air-fluid levels of small bowel morphology, in favor of small bowel obstruction. String of pearls sign present favor fluid distended loop.
From the case:
Small bowel obstruction - string of pearls sign
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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 localized 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.
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