Presentation
Chronic constipation.
Patient Data
Age: 45 years
Gender: Male
From the case:
Slow colonic transit
{"study":{"id":100786,"case_slug":"slow-colonic-transit-1","modality":"X-ray","series":[{"id":54090803,"content_type":"image/png","frames":[{"id":54090803,"width":727,"height":815,"current":true}],"annotations":[],"encodings":{"original_dicom":null,"video":null,"thumbnailed_files":[{"tiny":"11_tiny.jpeg","jumbo":"11_jumbo.jpeg","small":"11_small.jpeg","thumb":"11_thumb.jpeg","medium":"11_medium.jpeg","gallery":"11_gallery.jpeg","big_gallery":"11_big_gallery.jpeg","original":"11.PNG"}]},"perspective":"Frontal","specifics":null},{"id":54090804,"content_type":"image/png","frames":[{"id":54090804,"width":730,"height":820,"current":true}],"annotations":[],"encodings":{"original_dicom":null,"video":null,"thumbnailed_files":[{"tiny":"22_tiny.jpeg","jumbo":"22_jumbo.jpeg","small":"22_small.jpeg","thumb":"22_thumb.jpeg","medium":"22_medium.jpeg","gallery":"22_gallery.jpeg","big_gallery":"22_big_gallery.jpeg","original":"22.PNG"}]},"perspective":"Frontal","specifics":null},{"id":54090805,"content_type":"image/png","frames":[{"id":54090805,"width":730,"height":819,"current":true}],"annotations":[],"encodings":{"original_dicom":null,"video":null,"thumbnailed_files":[{"tiny":"33_tiny.jpeg","jumbo":"33_jumbo.jpeg","small":"33_small.jpeg","thumb":"33_thumb.jpeg","medium":"33_medium.jpeg","gallery":"33_gallery.jpeg","big_gallery":"33_big_gallery.jpeg","original":"33.PNG"}]},"perspective":"Frontal","specifics":null},{"id":54090806,"content_type":"image/png","frames":[{"id":54090806,"width":719,"height":818,"current":true}],"annotations":[],"encodings":{"original_dicom":null,"video":null,"thumbnailed_files":[{"tiny":"44_tiny.jpeg","jumbo":"44_jumbo.jpeg","small":"44_small.jpeg","thumb":"44_thumb.jpeg","medium":"44_medium.jpeg","gallery":"44_gallery.jpeg","big_gallery":"44_big_gallery.jpeg","original":"44.PNG"}]},"perspective":"Frontal","specifics":null},{"id":54090807,"content_type":"image/png","frames":[{"id":54090807,"width":760,"height":815,"current":true}],"annotations":[],"encodings":{"original_dicom":null,"video":null,"thumbnailed_files":[{"tiny":"55_tiny.jpeg","jumbo":"55_jumbo.jpeg","small":"55_small.jpeg","thumb":"55_thumb.jpeg","medium":"55_medium.jpeg","gallery":"55_gallery.jpeg","big_gallery":"55_big_gallery.jpeg","original":"55.PNG"}]},"perspective":"Frontal","specifics":null},{"id":54090808,"content_type":"image/png","frames":[{"id":54090808,"width":724,"height":819,"current":true}],"annotations":[],"encodings":{"original_dicom":null,"video":null,"thumbnailed_files":[{"tiny":"66_tiny.jpeg","jumbo":"66_jumbo.jpeg","small":"66_small.jpeg","thumb":"66_thumb.jpeg","medium":"66_medium.jpeg","gallery":"66_gallery.jpeg","big_gallery":"66_big_gallery.jpeg","original":"66.PNG"}]},"perspective":"Frontal","specifics":null},{"id":54090809,"content_type":"image/png","frames":[{"id":54090809,"width":710,"height":819,"current":true}],"annotations":[],"encodings":{"original_dicom":null,"video":null,"thumbnailed_files":[{"tiny":"77_tiny.jpeg","jumbo":"77_jumbo.jpeg","small":"77_small.jpeg","thumb":"77_thumb.jpeg","medium":"77_medium.jpeg","gallery":"77_gallery.jpeg","big_gallery":"77_big_gallery.jpeg","original":"77.PNG"}]},"perspective":"Frontal","specifics":null}],"caption":{"us":null,"gb":null},"findings":{"us":"\u003cp\u003e22 of the 24 markers are retained on day 5, located within the transverse, descending and sigmoid colon as well as rectum.\u003c/p\u003e","gb":"\u003cp\u003e22 of the 24 markers are retained on day 5, located within the transverse, descending and sigmoid colon as well as rectum.\u003c/p\u003e"},"contributor_login":"dr mt niknejad","case_id":85233,"case_key_image_id":54090809,"case_featured_at":null},"current_user":null,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_pin":false}}
22 of the 24 markers are retained on day 5, located within the transverse, descending and sigmoid colon as well as rectum.
Case Discussion
There are numerous variations in how a colonic transit study is conducted and how the findings are interpreted. In this case, 24 markers are ingested and abdominal x-rays taken 1, 24, 48, 72, 96 and 120 hours later. If 24 rings are used, then <5 rings should be present in five days.