Adhesional small bowel obstruction

Case contributed by Dr Henry Knipe

Presentation

Severe epigastric pain. Recent hemicolectomy.

Patient Data

Age: 60
Gender: Male
Modality: X-ray

Dilated loops of small bowel centrally with multiple air-fluid levels and string of pearls sign on the erect projection. 

Case Discussion

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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Case Information

rID: 31694
Case created: 21st Oct 2014
Last edited: 29th Aug 2015
Inclusion in quiz mode: Included

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