Clarius Classroom

Small Bowel Obstruction

Oron Frenkel, MD

Dilated loops of small bowel with thickened walls, free fluid, and back-and-forth movement of intestinal contents are highly specific for bowel obstruction or severe ileus.

Specialties: Emergency Medicine, EMS, Primary Care, Rural
Applications: Abdomen
in this video we see the curvilinear scanner in an abdominal preset placed on the abdomen and as we scan where usually we just see a bowel gas pattern we immediately see two loops of bowel here with thickened walls and they are fluid filled and they measure approximately three centimeters in diameter and as we play we'll see some free fluid also in between those bowel loops and as we turn the transducer into a longitudinal fashion on one of those bowel loops we start to see intestinal contents moving backwards and forwards which itself is combined with these other findings a patho mnemonic finding of a high-grade bowel obstruction or potentially a very severe iliac such as in intestinal ischemia

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