Clik here to view.
Pelvic foreign body
A 35 year-old female came into the ED with diarrhea for several weeks. She had a story highly suspicious of c.diff and we sent her for an acute abdominal series to evaluate for megacolon, other...
View ArticleClik here to view.
Nailed!
Here’s a good reason not to put nails in your mouth while doing construction at home: The patient accidentally swallowed the nails while trying to hammer one in and you can see them on the radiograph...
View ArticleClik here to view.
Free Air…
An elderly patient presented with abdominal pain for a week. The patient had peritoneal signs on exam and thus xray imaging was pursued (see discussion below): Image 1 Image 2 Image 3 This is an acute...
View ArticleClik here to view.
Interesting Acute Abdominal Series…
This patient presented with nausea, vomiting, diffuse abdominal pain, and no bowel movement for a couple days. This patient has a history of Ogilvie syndrome and this abdominal xray helps support this...
View ArticleClik here to view.
ROCKIN!
A patient told me the other day that he swallowed a rock. He had a psych history and we initially didn’t believe him. However… This acute abdominal series shows a radioopaque object strikingly...
View ArticleClik here to view.
Classic Xray…
This patient presents with a peritoneal abdomen on exam: This is a great abdominal series showing free peritoneal air. This is a sign of gastric, bowel, or colonic perforation and is a surgical...
View ArticleClik here to view.
Is the KUB dead?
Before CT abdomen became commonplace in the ED, a plain radiograph of the abdomen (KUB for Kidneys, Ureters, and Bladder) was often a screening for kidney stone. Currently, ultrasound and CT abdomen...
View ArticleClik here to view.
Colonic dilitation…
This is a 50 year old male who presented with nausea, vomiting, and abdominal distention. His initial plain film showed: A CT scan was ordered for given suspicion for colonic obstruction: The CT...
View ArticleClik here to view.
More colonic dilitation…
This patient presented with abdominal pain, nausea, vomiting, and distention: These films and CT show colonic dilatation similar to last week (sigmoid volvulus). However, in contrast to last week,...
View Article
