Presentation
Intractable bilious vomiting. Distal small bowel obstruction diagnosed by CT (not available).
Patient Data
Age: 65 years
Gender: Female
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Info
Multiple loops of distended small bowel. Proximal small bowel contains Gastrografin. Colon empty.
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Info
Multiple loops of distended small bowel containing Gastrografin. Colon empty.
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Info
Multiple loops of distended small bowel containing Gastrografin. Colon empty.
Case Discussion
There is slow progression of Gastrografin through the obstructed ileum, with an empty colon at 48 hours indicating high-grade obstruction. Usually, failure of contrast to reach the large bowel by 24 hours indicates a failed water-soluble contrast challenge. Closed-loop obstruction seen on CT (not available).
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