23 mm dilated jejunal loops in focus with normal ileal loop. 60 years male . ? Obstruction in ileum скачать в хорошем качестве

23 mm dilated jejunal loops in focus with normal ileal loop. 60 years male . ? Obstruction in ileum

23 mm dilated jejunal loops in focus with normal ileal loop. 60 years male . ? Obstruction in ileum IN VIDEO DILATED LOOPS ARE ONLY JEJUNAL LOOPS AND ILEAL LOOPS ARE NOT DILATED. 60 YEARS MALE PATIENT . COMPLAIN OF FULLNESS OF ABDOMEN WITH HEADACHE , SOMETIME NAUSEA, SINCE 20 YEARS. SOMETIME FEEL LIKE NAUSEA, . HE GIVES HISTORY THAT HE FEEL LIKE GAS INSIDE THE ABDOMEN . WHEN HE FEELS TOOMUCH DISCOMFORT HE DOES VOMITING VOLUNTARILY BY FINGER IN THE MOUTH AND AFTER THAT HE GETS RELIEVED. IN USG THERE ARE MULTIPLE DILATED FLUID FILLED JEJUNAL LOOPS UPTO 23MM DIAMETER WITH NORMAL PERISTALSIS . PLACING PROBE IN RIGHT ILIAC FOSSA TO LOOK FOR ILEAL LOOPS, THEY WERE ABSOLUTELY NORMAL . NO DILATATION . THIS SUGGEST THAT THE OBSTRUCTION OF JEJUNAL LOOPS COULD BE DUE TO OBSTRUCTION IN PROXIMAL ILEUM OF SOMEWHERE IN ILEUM ONLY . AT PRESENT THESE FINDINGS ARE SEEN AND PATIENT HAD NOT TAKEN ANYTHING TILL NOW AT 2 PM. HE JUST HAD ONE CUP OF TEA IN MORNING. HE IS TELLING THAT PAIN HAVE NOTHING TO DO WITH FOOD .IF I EAT THEN ALSO SUCH FULLNESS , HEAD ACHE AND GAS LIKE FEELING REMAINS.