PMC6702021_01
An abdominal X-ray film obtained on admission. Air-fluid levels are noted in the small bowel.
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A plain abdominal X-ray film revealed air-fluid levels in the small bowel (Fig. 1).
An abdominal CT scan obtained on admission. Slight dilation of the intestinal tract and accumulation of fluid are noted. Part of the intestinal tract has formed a loop, suggesting the mechanism of obstruction.
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Abdominal CT showed a slight dilation of the bowel and the accumulation of fluid (Fig. 2).
A showed contrast-enhanced image through the ileus tube. Stenosis of the small bowel is revealed. B showed contrast-enhanced image through the ileus tube 3 days after A. The previous small bowel stenosis has resolved.
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Bowel obstruction due to the patency capsule was suspected, so a long tube that could reach the small bowel was inserted for decompression and small bowel imaging revealed jejunal stenosis (Fig. 3A). Small bowel imaging was repeated after a few days, and the stenosis was no longer visualized (Fig. 3B).
Clinical Course.
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We summarized the clinical course in Fig. 4.