Table 2. Radiographic diagnostic signs for small bowel obstruction and large bowel obstruction 11 .
Small bowel obstruction Supine or prone: 1. Dilated small bowel > 2.5–3 cm 2. Paucity of colorectal gas 3. Stretch sign 4. Gasless abdomen 5. Dilated stomach Upright or decubitus: 1. Multiple air–fluid levels 2. Air–fluid level wider than 2.5 cm 3. Air–fluid levels in the same small bowel loop of unequal heights 4. String-of-beads sign |
Large bowel obstruction 1. Dilated colon > 6 cm or cecum > 9 cm 2. Paucity of rectal gas 3. +/− small bowel dilation depending on duration and presence of closed loop |