Abdominal X-Ray

(AXR)

<Imaging>

<Index>

 

Description

-  Plain film x-ray imaging of the abdomen

 

Views

-   

 

Interpretation

-  Calcification

-  Renal: nephrocalcinosis, urolithiasis

-  Gall bladder: cholelithiasis, Porcelain gall bladder

-  Liver: granulomas (old TB), Hydatid disease,

-  Spleen: granuloma

-  Vascular: AAA, splenic artery

-  Pancreas: chronic pancreatitis (2-40% pts w EtOH pancreatitis)

-  Adrenals: post infection, Addisons disease

-  Uterine: fibroids

-  Ovarian: dermoids

-  Aerobilia

-  Branching gas chadows overlying liver

-  Post op: ERCP

-  Incompetence of Sphincter of Oddi: elderly, post sphincterotomy

-  Biliary fistula: gall stone ileus (cholecystitis)

-  Post traumatic

-  Malignancy

-  Thumbprinting

-  Colitis: inflammatory, ischaemic, infective

-   Toxic Megacolon

-  Ca: lymphoma, mets

-  Gastric Dilation

-  Obstruction: ulceration, fibrosis (PUD)

-  Malignancy

-  Volvulus

-  Ileus: post op..

-  Large Bowel Dilation >5cm

-  Obstruction: volvulus..

-  Ileus: esp post op

-  Toxic Megacolon

-  Olgivies Syndrome (Pseudo obstruction)

-  Small Bowel Dilation

-  Definitions

-   Proximal jejunum >3.5cm

-   Distal jejenum >3cm

-   Ileum >2.5cm

-  Causes

-   Obstruction: hernia..

-   Ileus: dilated large & small bowel

-   Coleiac..