30-year-old patient with acute abdomen pain with obstipation. X-ray given below. Diagnosis?
Ans. (a) Small bowel obstructionRef: Bailey and Love 26th edition, Page 1189* Nowadays for suspected small bowel obstruction erect X-ray is not done unless specifically required* This X-ray shown here is X-ray abdomen erect -- showing multiple air fluid levels in stepladder pattern* Supine X-ray shows more of gas filled small bowel loops* Erect X-ray shows air fluid levels with air at the top and fluid below* 2-5 air fluid levels are normal.
Small bowel obstruction
Large bowel obstruction
Gastric outlet obstruction
Duodenal atresia
Small & Large Intestine