Abdominal x-ray
Mohamed Ibrahim Ali, MBBS, MSc, PhD
Normal anatomy
•Age: 55 years
•Gender: Female
Nonspecific pain in
the right
hypochondrium for
the past 3 months
•Abdominal pain
•57 years
•Female
30 years
•Pain in abdomen;
history of previous
abdominal surgery.
•30 years
•Distended abdomen and
vomiting.
•Age:60 years
•Gender: Female
Cause of obstruction??
One week of constipation
and colicky abdominal
pain. Distended. Palpable
bowel loops. Soft
reducible left inguinal
hernia..?
•Age:80
•Years
•Gender: Male
Cause of obstruction??
•Two days history of
distended abdomen and
vomiting.
•Cholecystectomy before
a year
•Age:65 years
•Gender: Female
Ultrasound detected numerous ascaris nematodes within one
of the dilated bowel loops
Acute abdominal pain,
vomiting, and abdominal
distension
Age:3 years
Gender: Female
Acute abdominal pain and vomiting.
Age:45 years
Gender: Male
•Age:65 years
•Gender: Female
Short history of a
distended abdomen and
vomiting.
•Abdominal surgery
many years ago.
What is the next step
•Age:70 years
•Gender: Female
•Distended abdomen.
Absolute constipation for
24 hours. Obstruction?
No history of surgery
Abdominal pain for the past 3 days
Age: 40 years
Gender: Female
Frontal Supine Frontal Erect
2 days of abdominal pain. On examination tender across the lower
abdomen with vague fullness.
Age: 40 years Gender: Female
Abdominal distension. Obstruction? Known renal patient.
History of chronic alcohol pancreatitis
Type two diabetes
Age: 55 years
Gender: Male
One week history of pelvic pain
Age: 60 years Gender: Female
Three-month history of diffuse abdominal pain and weight loss of
20 kilograms.
Intermittent urinary obstruction to voiding
One week history of pelvic pain
Age: 60 years Gender: male
Abdominal pain + distension
Age: 7 years Gender: female
Excessive crying and abdominal distension
Age:6 months
Gender:Male