Answer of June 2001

Clinical History:

F/60. Complained of Abdominal pain and constipation

Figure 1 Non-contrast axial scan of abdomen
Figure 2 Barium meal and followthrough

What is your diagnosis?

                                Figure 1

                                 Figure 2

Diagnosis:

Proximal small bowel obstruction due to food impaction.

Discussion:

Figure 1 Non-contrast axial CT scan showing dilated proximal small bowel with retained food material.

Figure 2 Barium study of small bowel showing grossly dilated jejunum with food bolus impaction proximal to a stricture in small bowel.