71-year-old man presents with three days of abdominal distension and colicky abdominal pain. During his emergency department visit he developed bilious vomiting.

He has no significant past medical history, and no prior abdominal surgery.

An erect abdominal X-ray (AXR) scan was performed

CT Case 048 001

Describe and interpret the AXR

AXR interpretation

The patient proceeded to have an abdominal CT scan

CT Case 048 003
CT Case 048 002
CT interpretation

Clinical Correlation



Provisional fellow in emergency radiology, Liverpool hospital, Sydney. Other areas of interest include paediatric and cardiac imaging.

Emergency Medicine Education Fellow at Liverpool Hospital NSW. MBBS (Hons) Monash University. Interests in indigenous health and medical education. When not in the emergency department, can most likely be found running up some mountain training for the next ultramarathon.

Dr Leon Lam FRANZCR MBBS BSci(Med). Clinical Radiologist and Senior Staff Specialist at Liverpool Hospital, Sydney

Sydney-based Emergency Physician (MBBS, FACEM) working at Liverpool Hospital. Passionate about education, trainees and travel. Special interests include radiology, orthopaedics and trauma. Creator of the Sydney Emergency XRay interpretation day (SEXI).

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