PMC4895776_01
Abdominal radiograph demonstrates a large soft tissue density within the left hemi-abdomen with several loops of dilated bowel displaced towards the right upper quadrant.
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The abdominal radiograph revealed several mildly dilated loops of bowel within the right upper quadrant with a large soft tissue density occupying much of the left hemi-abdomen which exerted a mass-like effect on the stomach (Fig. 1).
Transverse and sagittal abdominal ultrasound images reveal a massively dilated bladder extending into the left upper quadrant.
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Abdominal ultrasound (US) revealed a massively dilated bladder that extended into the left upper quadrant, which corresponded to the mass seen on the frontal abdominal radiograph (Fig. 2).
Ultrasound images of both kidneys show moderate hydronephrosis on the right and severe hydronephrosis on the left. Normal parenchymal echogenicity is present in bilateral renal cortices.
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Both kidneys demonstrated marked hydronephrosis (left greater than right) but were normal in size and the parenchyma was of normal echogenicity (Fig. 3).
Repeat abdominal radiograph following catheterization that drained 210 ml of urine demonstrates increased dilatation of proximal loops of bowel without any gas seen distally.
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After bladder decompression, a follow-up radiograph revealed increased dilatation of proximal loops of bowel without any gas distally (Fig. 4).
Barium enema with residual contrast seen from upper GI series and small bowel follow through reveal a microcolon with malrotation.
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Afterwards, a Barium enema, upper GI series, and a small bowel follow through were performed (Fig. 5).
PMC4895776_02