IMPORTANT: We currently have a number of bugs related to image cropping and are actively trying to resolve them. In the meantime, we have disabled cropping. Apologies for any inconvenience. Stay informed: radiopaedia.org/chat

Large bowel obstruction

Case contributed by Mohammad Osama Hussein Yonso
Diagnosis almost certain

Presentation

Not passing stool or flatus.

Patient Data

Age: 60 years
Gender: Male
x-ray

Distended gas-filled colon, air-fluid levels present centrally and periphery in the abdomen.

Post repair

x-ray

After repairing the hernia, no obstruction.

Case Discussion

The patient presented with signs of acute large bowel obstruction, which is confirmed on a standing plain x-ray. On examination of the patient, a strangulated hernia noted which was surgically repaired.

Large bowel obstruction is suspected if bowel diameter exceeds 6 cm, or cecum more than 9 cm and multiple air-fluid levels.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.