Image Gallery |
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Small Bowel Obstruction Image 1a (Plain radiograph, Supine view): Multiple dilated loops of small bowel. |
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Image 1b (Plain radiograph, Erect view): Multiple dilated loops of small bowel with air-fluid levels and "string of pearls" sign indicating a mechanical small bowel obstruction. |
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Incarcerated Small Bowel Hernia Image 2a (Plain radiograph): Multiple dilated loops of small bowel in the upper abdomen. |
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Image 2b (Plain radiograph): Lower abdominal film showing increased density in the right obturator foramen. | |
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Image 2c (Computed Tomography): Coronal view of the same patient demonstrating an incarcerated small bowel. Dilated proximal loops of small bowel enter a large right inguinal hernia. The distal small bowel loop exiting the hernia is collapsed. | |
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Image 2d (Computed Tomography): Axial view showing the dilated small bowel loop in the right inguinal hernia (arrow). | |
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Malignant Small Bowel Obstruction Image 3 (Small bowel enteroclysis): Small bowel obstruction due to a serosal metastasis (arrow). |
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Gallstone Ileus Image 4 (Plain radiograph): Multiple loops of distended small bowel with air in the biliary tree (arrow). |
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Gallstone Ileus Image 5 (Computed Tomography): A large gallstone is impacted in the small bowel causing mechanical obstruction. Note air in the biliary tree. |
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Pneumoperitoneum Image 6 (Plain radiograph): Perforated bowel and pneumoperitoneum. The intraabdominal gas outlines the liver edge, gallbladder and falciform ligament. |
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Pneumoperitoneum Image 7 (Plain radiograph, Lateral decubitus): Perforated bowel with pneumoperitoneum. The intraabdominal gas outlines the liver edge and chest wall. |
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Large Bowel Obstruction Image 8a (Plain radiograph): Distension of the caecum, ascending and transverse colon. |
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Image 8b (Computed Tomography): CT of the same patient showing marked caecal distension secondary to a constricting tumour (arrow). | |
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Colorectal Carcinoma Image 9a: A Right hemicolectomy showing a large, ulcerated and exophytic caecal adenocarcinoma. |
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| 9b |
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Image 9b (H&E, x2.5) and 9c (H&E, x10): Histological sections showing a moderately differentiated colorectal adenocarcinoma composed of malignant glands invading into the bowel wall (blue arrows). The glands are lined by cells showing marked nuclear atypia. Normal colonic mucosa is included for comparison (green arrow). | |
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Caecal Volvulus Image 10 (Plain radiograph): Markedly distended loop of large bowel from a caecal volvulus. |
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Sigmoid Volvulus Image 11 (Plain radiograph): Markedly dilated loop of large bowel. The dense white line between the limbs (arrow) points to the origin of the volvulus. |
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Sigmoid Volvulus Image 12 (Computed Tomography): Sigmoid volvulus with the classical "whorl" sign representing the twisted sigmoid mesentery (arrow). |
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Pathology
images courtesy of PathWest Laboratory Medicine.