Abdominal x-ray showing

KUB An upright abdominal x-ray shows dilated loops of small bowel and free air under the diaphragm. 

FIGURE 1.6 Abdominal X-ray showing the apparatus consisting of two nitric oxide sensors, a 4-channel pH catheter, and a Teflon nasogastric tube. (Reprinted with permission from the American Gastroenterological Association [82].)... 

An 82-year-old woman was scheduled for gastrectomy with an epidural anesthetic (71). She had previously had many acupuncture treatments with a Japanese technique (okibari), in which small needles are left in situ. Her preoperative chest and abdominal X-rays showed hundreds of needles around the vertebrae. The anesthesiologists feared that an epidural anesthetic might lead to spinal cord injury or pneumothorax, and general anesthesia was chosen instead. 

Case 2 (L.W.) A 5-week-old boy was the first child of healthy unrelated parents. From 3 weeks of age he thrived poorly, had feeding difficulties and was extremely irritable. On admission he was markedly irritable and the thumb and first 2 fingers of the right hand were red, swollen and painful. Neurologically he was slightly hypotonic. Plasma creatinine was 350 umolA and urate disproportionately high at 1.13 mmol/1. Plain abdominal X-ray showed no radio... 

A 48-year-old woman developed a fever and pain in the right lower quadrant of the abdomen 8 hours after a barium study that was performed through an ileostomy stoma [19 ]. Her temperature was 38.5°C and there was tenderness and rebound tenderness over McBurney s point. The white cell count was raised. A supine plain abdominal X-ray showed retained barium in the cecum and appendix, which was confirmed by a Cr scan, which also showed mild swelling of the appendiceal walk The appendix was resected. It was red and edematous and there was barium in the lumen. 

A 75-year-old woman had a double-contrast barium examination of her colon and developed severe right lower quadrant pain [21 ]. There was tenderness in the right lower abdominal quadrant with a positive McBurney s sign. The white blood cell count was 16.3 x 10 /1, with 88% neutrophils. A plain abdominal X-ray showed a densely radio-opaque tubular lesion in the right lower quadrant and CT scans showed dense barium retention in the appendix with surrounding prominent fatty infiltration. The appendix was enlarged and erythematous with a perforation near the base. 

Fig.20.12a,b. An 11-year-old boy with medullary sponge kidney and hypercalciuria. a Sonogram of right kidney showing dilated collecting ducts and nephrocalcinosis. b Abdominal X-ray showing renal stones on both sides... 

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