Description
Surgeons and radiologists encounter a challenge regarding the type of diagnostic imaging techniques to use when faced with a possible small bowel obstruction (SBO). However, with a sensitivity of 82%–100% for high-grade and complete SBOs, multidetector CT is the preferred imaging method.1 2
A high-grade obstruction can be identified by the degree of distal collapse, proximal bowel dilation and small bowel faeces sign.2 3
The transition point is defined by a calibre change between the dilated proximal and collapsed distal small bowel loops.1 2
Bezoars are an unusual cause of acute abdomen due to SBO (1–2), causing a mostly complete mechanical obstruction. Bezoars are commonly located in the jejunum or in the proximal ileum.1–3
Our images demonstrate the importance of CT for bezoar identification (figures 1 and...
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