The Radiopaedia Reading Room Podcast 56. Readful! Small bowel obstruction with Michael Hartung
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Nov 4, 2024 In this installment, Michael Hartung, an abdominal radiologist and educator, joins the conversation to unpack small bowel obstructions. They share essential tips on CT reporting and the intricacies of recognizing closed-loop obstructions. The dialogue dives into imaging techniques, emphasizing the role of collaboration with surgical teams for accurate diagnoses. Fun anecdotes about cicadas add a light touch as they discuss the challenges of effective radiology reporting, blending humor and education throughout.
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CT Review Technique
- Review small bowel obstruction cases in both axial and coronal planes.
- This helps confidently assess for closed-loop obstructions and identify transition points.
Global SBO Causes
- Small bowel obstruction causes vary globally depending on access to healthcare.
- Adhesive disease is still prevalent but other causes like malignancy, hernias, and infections become more common in areas with limited resources.
Finding the Transition Point
- When reviewing a CT for SBO, prioritize finding the transition point.
- Trace the dilated bowel both downstream and upstream from this point to fully assess the obstruction.