GI Radiology > Small Bowel > Disease Patterns > Small Bowel Obstruction

Structural Abnormalities

Small Bowel Obstruction

Radiographic – Fluoroscopy

  •           Incomplete SBO is represented by a transition zone, with dilated loops proximal to obstruction and normal-caliber loops distal to SBO.
  •           Adhesions appear as linear impressions at sites of obstruction
  •           Hernias appear as abnormally located or clustered loops.  Smooth extrinsic compression may be seen.  Anterior abdominal hernias may need lateral imaging
  •           Volvulus often demonstrate non-specific findings of SBO, but “bird beak” appearance may be observed at the site of obstruction.

Small bowel obstruction secondary to adhesions.

Note the linear impression at the site of obstruction.