Presentation
Abdominal distention, pain, and constipation.
Patient Data
Multiple distended gas-filled bowel loops with multiple air fluid levels arranged in a step-ladder pattern are observed in the central part of the abdomen, with a distal paucity of gas shadow.
Fluid filled dilated bowel loops ( >2.5 cm) with prominent valvulae conniventes are seen on ultrasonography.
Rapid reverse peristalsis was also noted during the USG scan.
Case Discussion
A 65-year-old male patient presented with constipation and pain in the abdomen. The patient had a previous history of abdominal surgery.
The patient was sent to the radiology department for ultrasonography. Multiple dilated bowel loops were found on ultrasonography. On plain x-ray of the abdomen in an erect posture, we found multiple air-fluid levels in the central abdomen with a relative paucity of bowel gas distally, confirming the diagnosis of intestinal obstruction.
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