WIDI - CA0330-Ascites, Early SBO

Ascites, Early SBO

Claim CME Credit

0.5 CME Credit available on completion

POINT OF CARE INFORMATION

This CME activity consists of the student reviewing the video of the professor reviewing the case as well as the associated DICOM image set related to the case in question.

Learning Objectives

As a result of participation in this activity, participants should be able to:

Provide improved patient care.
Greater knowledge of the imaging characteristics of the patient's disease.
Understand a better approach to interpretation of studies.

Faculty Disclosure

Mehmet Albayram, MD, Ivan Davis, MD, Mariam Hanna, MD, Anthony Mancuso, MD, Ronald Quisling, MD, Dhanashree Rajderkar, MD, Priya Sharma, MD, Roberta Slater, MD and Joann Stamm, MBA have disclosed that they have no relevant financial relationships. No one else is a position to control content have any financial relationship to disclose.

CME Advisory Committee Disclosure:

Conflict of interest information for the CME Advisory Committee members can be found on the following website: https://cme.ufl.edu/disclosure/.

Continuing Medical Education Credit

Accreditation: The University of Florida College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Credit: The University of Florida College of Medicine designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

CA0330-Ascites, Early SBO

History

69 year old male with nausea and pain. Evaluate for obstruction.

Exam

KUB/supine abdomen

Findings

Technique

The entire abdomen/pelvis is not covered on the exam. The most lateral soft tissues are not included. The region of interest is covered on the exam.

Lines, Tubes, Drains and Foreign Bodies

There are no lines, tubes, catheters, stents, or drains in place.

Stomach and Bowel Gas

The stomach is mildly distended with gas. There is mild distention with gas of multiple loops of small bowel in the mid abdomen, some dilated greater than 3 cm.

There is a paucity of gas in the colon.

There are centralized loops of small bowel with distention of the abdomen and pelvis.

There is no thickening of the SB wall or valvulae conniventes 3 mm or greater.

Solid Organs and Intra-Abdominal Soft Tissues

There is a small 4 mm left renal stone. The remaining abdominal organs are unremarkable.

Extraluminal Air

There is no free air, pneumatosis, or other extraluminal air.

Additional Abdominal and Pelvic Calcifications

There are no additional abdominal or pelvic calcifications.

Bones and Extra-Abdominal Soft Tissues

The bones and extra-abdominal soft tissues are unremarkable. There is no abnormality of the lung bases or diaphragm.

Impression

There are mildly distended loops of small bowel with a paucity of colon gas which could be from developing or partial obstruction. Centralized loops of small bowel with abdominal distention likely indicate ascites.