Interesting Acute Abdominal Series…

This patient presented with nausea, vomiting, diffuse abdominal pain, and no bowel movement for a couple days.

Ogilvie's syndrome

This patient has a history of Ogilvie syndrome and this abdominal xray helps support this diagnosis.  Ogilvie syndrome is an acute pseudo-obstruction of the GI tract without a mechanical obstruction.  Xray will often show massive (>10cm) dilitation of the colon, usually on the cecal side.  This patient’s cecum measures out to be 21 cm!

Brief summary of Ogilvie Syndrome courtesy of Wikipedia:


Author:  Russell Jones, MD

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EMREMS: Radiology in Emergency Medicine

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