EURORAD ESR

Case 14072

A case of small bowel obstruction secondary to santol(Sandoricum koetjape) seed

Author(s)
Suman Karki, M.D

Manila Med Medical Center Manila; U.N Ave Taft Corner 1000 Manila , Philippines; Email:karkisuman123@yahoo.com
 
Patient
male, 41 year(s)
 
 
  • Figure 1
    Plain x-ray upright and supine
     

    Plain radiograph in supine position shows diffusely dilated small bowel loops

     
    Area of Interest: Abdomen; Imaging Technique: Plain radiographic studies; Procedure: Diagnostic procedure; Special Focus: Obstruction / Occlusion;

    Plain radiograph in sitting position shows dilated small bowels with differential air-fluid levels

     
    Area of Interest: Abdomen; Imaging Technique: Plain radiographic studies; Procedure: Diagnostic procedure; Special Focus: Obstruction / Occlusion;
     
     
  • Figure 2
    Plain CT
     

    Plain coronal CT shows diffiusely dilated small bowel loops with several ovoid shaped hyperdense foci, representing foreign body (santol seeds)

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Obstruction / Occlusion;

    Plain axial CT shows a hyperdense focus at the ileo-cecal junction (transition point) with thickening of the ileal wall .

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Obstruction / Occlusion;
     
     
  • Figure 3
    Plain x-ray upright and supine
     

    Follow-up plain upright abdomnial radiograph shows interval decrease in the dilatation of the small bowel loops

     
    Area of Interest: Abdomen; Imaging Technique: Plain radiographic studies; Procedure: Diagnostic procedure; Special Focus: Obstruction / Occlusion;

    Follow-up plain supine abdominal radiograph shows interval decrease in the dilatation of the small bowel loops. Presence of the rectal gas is seen.

     
    Area of Interest: Abdomen; Imaging Technique: Plain radiographic studies; Procedure: Diagnostic procedure; Special Focus: Obstruction / Occlusion;
     
     
Plain radiograph in supine position shows diffusely dilated small bowel loops
 
Plain radiograph in sitting position shows dilated small bowels with differential air-fluid levels
 
Plain coronal CT shows diffiusely dilated small bowel loops with several ovoid shaped hyperdense foci, representing foreign body (santol seeds)
 
Plain axial CT shows a hyperdense focus at the ileo-cecal junction (transition point) with thickening of the ileal wall .
 
Follow-up plain upright abdomnial radiograph shows interval decrease in the dilatation of the small bowel loops
 
Follow-up plain supine abdominal radiograph shows interval decrease in the dilatation of the small bowel loops. Presence of the rectal gas is seen.
 
 
 
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