Become a Pro Member for full access to this course and more.

View Plans   Log In
Expand ("E")   Collapse

Age: 2

Sex: Male

Indication: Abdominal distension

Save ("V")

Case #6


Findings

  • Mild gaseous distension of the colon with multiple air-fluid levels on the decubitus view
  • Nonobstructive bowel gas pattern
  • No evidence of intraperitoneal free air
  • No abnormal intraabdominal mass effect or calcification


Diagnosis

  • Colitis

Sample Report

Mild gaseous distension of the colon with multiple air-fluid levels on the decubitus view, which can be seen with colitis.

Nonobstructive bowel gas pattern.

No evidence of intraperitoneal free air.

No abnormal intraabdominal mass effect or calcification.


Discussion

  • Enteritis and colitis often have a nonspecific (or normal) appearance on radiographs
  • Some findings to look for include mild segmental dilation and abnormal separation of bowel loops (due to wall thickening and/or mesenteric edema)
  • If colon dilation is more severe (e.g. > 10 cm) with bumpy appearance of the mucosa (thumbprinting), it is important to alert the clinician to the possibility of toxic megacolon



📣 Feedback?

⌨️  Keyboard Shortcuts ("K")

⌨️ Keyboard Shortcuts

View shortcuts

Zoom/Pan

  Full screen

  Window/Level

  Expand/collapse

  Scroll

  Save the case

  Close case/tab

Previous Slice (Scroll)

Next Slice (Scroll)

 Toggle presets

 Previous series (if multiple)

 Next series (if multiple)

  Previous case (⌘ ◄ on a mac)

  Next case (⌘ ► on a mac)