Classification ejunal and ileal obstruction:; Candy cane:>3 loops+>3cm gas-fluid levels+>3~5 hours onset Disparity in size between obstructed and normal loops Little/no gas stool in colon with complete mechanical obstruction after 12-24 hours Stepladder appearance;string-of-bead; Cave:fluid-distended loops may lead one to overlook obstruction!!!
Classification ◼ Jejunal and ileal obstruction: ◼ Candy cane: >3 loops+>3cm gas-fluid levels+>3~5 hours onset ◼ Disparity in size between obstructed and normal loops ◼ Little/no gas + stool in colon with complete mechanical obstruction after 12-24 hours ◼ Stepladder appearance; string-of-bead; Cave: fluid-distended loops may lead one to overlook obstruction!!!
Upright abdominal radiograph shows multiple air-fluid levels. Pneumobilia(arrow)is present, as is string-of pearls sign (arrowheads)
Upright abdominal radiograph shows multiple air–fluid levels. Pneumobilia (arrow) is present, as is string-of pearls sign (arrowheads)
