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Small bowel obstruction from adhesions

Patterson RAP - MedPix (2007)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Small bowel obstruction from adhesions

History: 2 y/o girl with H/O VACTERL association. Presented to ER with 18 hour H/O bilious vomiting, vomiting all oral intake, and mild periumbilical pain. Surgical history: gastrostomy for feeding tube at 1 day old, T-E fistula repair at 5 days old, and modified Blalock-Taussig shunt at 4 mos.

Findings: Films I, II -multiple dilated small bowel loops with differential air-fluid levels consistent with obstruction; note also multiple vertebral and rib anomalies Films III, IV - multiple dilated small and large bowel loops with enteric contrast through to rectum, consistent with post-operative adynamic ileus

Ddx: Small bowel obstruction Ileus

Dxhow: At surgery

Exam: Distended but not hard abdomen, bowel sounds diminished but occasional high pitched rushes present in all quadrants, mild periumbilical tenderness, no masses, no hepatosplenomegaly, no rebound, no guarding. No fever, no cough.

No MeSH data available.


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Small bowel obstruction from adhesions

Patterson RAP - MedPix (2007)

© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1649&req=5

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Small bowel obstruction from adhesions

History: 2 y/o girl with H/O VACTERL association. Presented to ER with 18 hour H/O bilious vomiting, vomiting all oral intake, and mild periumbilical pain. Surgical history: gastrostomy for feeding tube at 1 day old, T-E fistula repair at 5 days old, and modified Blalock-Taussig shunt at 4 mos.

Findings: Films I, II -multiple dilated small bowel loops with differential air-fluid levels consistent with obstruction; note also multiple vertebral and rib anomalies Films III, IV - multiple dilated small and large bowel loops with enteric contrast through to rectum, consistent with post-operative adynamic ileus

Ddx: Small bowel obstruction Ileus

Dxhow: At surgery

Exam: Distended but not hard abdomen, bowel sounds diminished but occasional high pitched rushes present in all quadrants, mild periumbilical tenderness, no masses, no hepatosplenomegaly, no rebound, no guarding. No fever, no cough.

No MeSH data available.