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Abd X Ray

A patient presented with abdominal pain and an abdominal radiograph showed dilated loops of small bowel and a stricture in the transverse colon. At surgery, the patient was found to have a gangrenous small bowel segment due to a mesenteric artery embolism. The radiograph presented shows colonic distension from the ascending colon through the sigmoid, with no air in the rectum, indicating large bowel obstruction caused by fecal impaction.

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80 views2 pages

Abd X Ray

A patient presented with abdominal pain and an abdominal radiograph showed dilated loops of small bowel and a stricture in the transverse colon. At surgery, the patient was found to have a gangrenous small bowel segment due to a mesenteric artery embolism. The radiograph presented shows colonic distension from the ascending colon through the sigmoid, with no air in the rectum, indicating large bowel obstruction caused by fecal impaction.

Uploaded by

dranees12
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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Plain radiographs of the abdomen are a common first-line imaging study ordered for patients with

abdominal pain. Nonradiologists need to be able to independently identify a variety of different


intestinal pathologies. This radiograph demonstrates several dilated loops of small bowel with a stricture
in the proximal transverse colon. At surgery, this patient was found to have a gangrenous loop of small
bowel from a mesenteric artery embolism.
A patient presents with obvious signs of abdominal discomfort. What process is likely responsible for the
large bowel obstruction in this abdominal radiograph?

The colonic distension is due to fecal impaction. The large bowel can be identified by the haustra and is
distended from the ascending colon through the sigmoid. There is a definite paucity of air in the rectum
caused by impacted feces leading to a buildup of fecal material and gas. This could be confirmed with
anoscopy or manual examination.

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