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2.10 - Imaging of the Abdomen

from Section 2 - Diagnosis, Assessment, Investigation, Monitoring and Data Interpretation

Published online by Cambridge University Press:  27 July 2023

Ned Gilbert-Kawai
Affiliation:
The Royal Liverpool Hospital
Debashish Dutta
Affiliation:
Princess Alexandra Hospital NHS Trust, Harlow
Carl Waldmann
Affiliation:
Royal Berkshire Hospital, Reading
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Summary

Key Learning Points

  1. 1. On an abdominal X-ray, the bowel is only visible when there is intraluminal gas or an air–fluid level, as the different densities are required to create contrast resolution so they can be perceived on a radiograph.

  2. 2. The 3/6/9 rule refers to the maximum size of specific sections of the bowel.

  3. 3. On an abdominal X-ray, the small bowel is normally central and valvulae conniventes can be seen. The colon, by contrast, is normally peripheral and has haustral folds which do not completely traverse the lumen.

  4. 4. In the early stages of pancreatitis, no abnormalities may be seen on CT imaging.

  5. 5. In cholecystitis, ultrasound is more sensitive than CT; however, CT is better at depicting complications such as perforation.

Type
Chapter
Information
Intensive Care Medicine
The Essential Guide
, pp. 68 - 74
Publisher: Cambridge University Press
Print publication year: 2021

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References

References and Further Reading

Harvey, CJ, Allen, S, O’Regan, D. Interpretation of the abdominal radiograph: 1. Br J Hosp Med (Lond) 2005;66:8890.CrossRefGoogle ScholarPubMed
Raby, N, Berman, L, de Lacey, G. Accident and Emergency Radiology: A Survival Guide, 2nd edn. Edinburgh: Elsevier; 2005.Google Scholar
Radiology Masterclass. 2019. Abdominal X-ray – system and anatomy. www.radiologymasterclass.co.uk/tutorials/abdo/abdomen_x-ray/anatomy_introductionGoogle Scholar

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