Radiology – Case 2
The Xray given above was taken in a 37 year old patient who presented with acute colicky abdominal pain. Spot the diagnosis! How many air fluid levels are normally seen? Which are the normal sites where air fluid levels are seen?
The X-ray shows multiple air fluid levels. This finding combined with the history of colicky abdominal pain points towards the diagnosis of acute obstruction of small bowel. The obstruction may be due to adhesion, hernia, neoplasm, foreign body etc. Studies have shown that a normal person has on average 4 air fluid levels. Most of them are seen in the colon. For the diagnosis of small intestinal obstruction, we should see more than 2 air fluid levels among the dilated loops of small bowel.
Image credits: James Heilman, MD (Wikipedia)
11 Comments
Seems like an Intestinal obstruction..
large bowel obstruction.
ans : acute small intestinal obstruction
normally 1 air-fluid level fundic shadow
Ans: Acute intestinal obstruction
normally less than or equal to 3 air fluid levels are seen.sites- fundus of stomach,duodenal cap,ileocaecal junction
Act small intestinal obstruction.as 4 nos of air fluid are seen. So D/D illeal obstruction,jejunal obstruction.normally 4to 5 nos of air fluid level seen.1 in stomach,1 in duodenum ,2 to 3 in small intestine.
acute small intestinal obstruction.
it is a case of maxillary sinusitis with endometriosis
AIO NORMALLY 3 OR <3 DD VOLVULUS OR STRICTURE OR GALL STONE ILEUS OR CA COLON
THIS CAN BE A CASE OF PSUEDO OBSTRUCTION….PAIN ABDOMEN,MULTIPLE AIR FLUID LEVELS…
A CASE OF ACUTE INTESTINAL OBSTRUCTION WITH MULTIPLE AIR FLUID LEVELS.NORMALLY 2 AIR FLOID LEVEL-AT THE FUNDUS AND DUODENUM
intestinal obstruction..