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References in periodicals archive ?
Caption: FIGURE 1: Chest X-ray showing air fluid levels and gastric fundal gas.
On MRI, we observed a large ovoid heterogeneously hyperintense lesion in the posterior wall of the uterus with air fluid level in nondependent part, which were interpreted to be a leiomyoma with degeneration or abscess formation.
Moreover, CT-scan confirmed small bowel loops distension with air fluid levels; the intestinal wall was normal; there was no transitional zone as the obstruction was the result of large intestinal compression by that abdominopelvic mass (Figure 2).
As seen in our analysis, GD present typically as thin walled cystic lesion with air fluid level suggesting a connection to the gastrointestinal tract.
Plain radiographs of the pelvis and legs showed extensive emphysema with air fluid levels from the pelvis to the calf, suggestive of gas gangrene (Fig.
But in our study, acute volvulus got emergency presentations so plain radiograph was the only available tool which showed caecal dilatation with air fluid level in majority of our cases with dilated small intestine in a few cases.
Figure 5: A) Chest X ray showing air fluid level on the right side with shift of mediastinum towards left.
2: Contrast CT image of the pelvis shows thick hyperdense ring lesion with air fluid level within.
Only 50% patients in our study had evidence of pneumoperitoneum on x-ray chest and 29% showed air fluid levels on x-ray abdomen.
X-rays of abdomen showed no multiple air fluid levels or gas under the diaphragm.
The patient presented with a gradual regression of pain, and a control X-ray confirmed that the foreign bodies shifted through the intestines (Figure 3 and 4) but they were filled with air, at multiple air fluid levels.
Initial imagining studies with abdominal X-ray revealed dilated small-bowel loops with multiple scattered air fluid levels suggesting partial versus early complete small-bowel obstruction.