Small bowel obstruction

Discussion:

The plain radiograph appearances are classical for a distal small bowel obstruction:

a.  Dilated small bowel

b.  The location is central within the abdomen

c.  Large bowel at the periphery is collapsed

d. The valvulae conniventes can be identified across the full width of the dilated loops confirming it to be small (not large) bowel.

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