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The stepladder sign is a radiological finding observed in the context of small bowel obstruction on abdominal X-rays or computed tomography scans. It refers to the appearance of multiple, dilated small bowel loops arranged in a step-like configuration, typically visible in upright or lateral decubitus imaging positions.
Bowel obstruction, also known as intestinal obstruction, is a mechanical or functional obstruction of the intestines which prevents the normal movement of the products of digestion. [2] [5] Either the small bowel or large bowel may be affected. [1] Signs and symptoms include abdominal pain, vomiting, bloating and not passing gas. [1]
Bowel obstruction is a blockage of the small or large intestine which prevents the normal movement of the products of digestion. [11] It may occur due to scar tissue after surgery, twisting of the bowel around itself, hernias, or gastrointestinal tumors. Reduced forward movement of bowel contents results in a build up of pressure within the ...
Volvulus causes severe pain and progressive injury to the intestinal wall, with accumulation of gas and fluid in the portion of the bowel obstructed. [11] Ultimately, this can result in necrosis of the affected intestinal wall, acidosis, and death. This is known as a closed-loop obstruction because there exists an isolated ("closed") loop of bowel.
Intussusception is a medical condition in which a part of the intestine folds into the section immediately ahead of it. [1] It typically involves the small intestine and less commonly the large intestine. [1] Symptoms include abdominal pain which may come and go, vomiting, abdominal bloating, and bloody stool. [1]
The characteristic abdominal pain is typically located in the center or right lower quadrant of the abdomen. [1] X-rays of the abdomen may reveal stool in the colon and air-fluid levels in the small intestines .
The preferred radiographic study for diagnosing afferent loop syndrome is thought to be abdominal CT. [3] An blocked intestinal segment can be directly visualized with CT scanning. It is also possible to look at other organs that could be affected by the obstruction, like the biliary tree and pancreas. [2]
Roux-en-Y reconstruction following partial or complete gastrectomy for stomach cancer. [4] Roux-en-Y hepatico jejuno stomy used to treat (macroscopic) bile duct obstruction which may arise due to: a common bile duct tumour or hepatic duct tumour (e.g. resection of cholangiocarcinoma) [5] a bile duct injury (e.g. cholecystectomy, iatrogenic, trauma)