Plain Abdominal Radiograph

Mostafa AbdAllateef
Assistant lecturer of general surgery
 Indications
 Bowel obstruction
 Bowel perforation (although…)
 Suspected FB
 Urinary calculi
 Mod-severe undifferentiated abd. pain
 Contraindications
 pregnancy is a relative contraindication to the
use of ionizing radiation
 Alternatives?
 Preparation
 Bowel preparation (when?)
 Gowning with minimal cloth.
 Radiopaque materials removal
 Technique
 Standard setting in radiology dept.
 Portable device
 C-arm
 Views
 AP supine view
 PA erect view
 lateral view
 lateral decubitus view
Views
Views
Views
Views
Views
Views
Normal
 Interpretation
 Name
 Age
 Sex
 Date of film
 View
 Gas Shadows
 Too much
 Too little
 Abnormal place
 Intestinal Obstruction
 jejunal
 Intestinal Obstruction
 Ileal
 Intestinal Obstruction
 Colonic
Small vs. Large Bowel
Air under diaphragm
Air under diaphragm
Air under diaphragm
Pneumatosis intestinalis
Gasless Abdomen
 OSCE
 Mention the abnormal finding in this xray
 Mention 2 common causes of this finding
 Mention 2 lines of primary treatment for this

patient