PMC7683163_01
2-view abdominal X-ray showing dilated loops of small bowel.
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A 2-view abdominal X-ray showed dilated loops of small bowel suggestive of small bowel obstruction (Figure 1); however, there was no obvious transition point or visible obstruction.
Abdominal CT scan showing small bowel thickening (a), bilateral hydroureteronephrosis (b), and moderate intra-abdominal ascites.
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Computed tomography (CT) scan findings showed small bowel thickening and were also notable for bilateral hydroureteronephrosis and moderate intra-abdominal ascites (Figures 2(a), 2(b)).
Resolution of previously seen hydronephrosis (red circle), dilated loops of bowel (red arrow), and ascites.
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This, in addition to aggressive electrolyte repletion, enteral nutrition, and antibiotics, showed a notable improvement in her IPO, renal failure, and ascites, with marked changes noted on repeat CT scan performed prior to discharge (Figure 3).