A 24 year old man came to AIIMS emergency dept with history of intermittent crampy abdominal pain since 12hrs, also he has also vomitted 5 times in last 12hrs, no history bleding per rectum. O/E Abdomen was distended and no bowel sounds were heard.Per rectum examination was normal. X-ray was done & given below. Pick true statements from below: Distribution of loops mainly in centre No visible Plica circulares Haustra are not visible String of beads sign present Radius of curvature of loops is around 5-10mm
A 24 year old man came to AIIMS emergency dept with history of intermittent crampy abdominal pain since 12hrs, also he has also vomitted 5 times in last 12hrs, no history bleding per rectum. O/E Abdomen was distended and no bowel sounds were heard.Per rectum examination was normal. X-ray was done & given below. Pick true statements from below: Distribution of loops mainly in centre No visible Plica circulares Haustra are not visible String of beads sign present Radius of curvature of loops is around 5-10mm
π‘ Explanation
**Core Concept**
The clinical presentation suggests a case of intestinal obstruction, which is a mechanical or functional blockage of the intestine that prevents normal flow of intestinal contents. **Intestinal obstruction** can be due to various causes, including mechanical obstruction, adhesions, or volvulus.
**Why the Correct Answer is Right**
The description of the X-ray findings, including the distribution of loops mainly in the center, absence of **Plica circulares** and **Haustra**, and the presence of a **string of beads sign**, is consistent with a diagnosis of intestinal obstruction, specifically a **small bowel obstruction**. The **string of beads sign** is a characteristic radiographic finding in which multiple small gas bubbles are seen within the intestine, resembling a string of beads.
**Why Each Wrong Option is Incorrect**
**Option A:** This option does not provide a clear description of the X-ray findings.
**Option B:** This option is not relevant to the X-ray findings.
**Option C:** This option does not accurately describe the X-ray findings.
**Option D:** This option is partially correct but does not fully describe the X-ray findings.
**Clinical Pearl / High-Yield Fact**
In cases of intestinal obstruction, it is essential to recognize the **string of beads sign** on X-ray, as it is a characteristic finding that can aid in diagnosis. Additionally, the absence of **Plica circulares** and **Haustra** can also indicate a small bowel obstruction.
**Correct Answer:** D. Distribution of loops mainly in centre, No visible Plica circulares, Haustra are not visible, String of beads sign present, Radius of curvature of loops is around 5-10mm
β Correct Answer: C. 1,3,4
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