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Failed challenge in a 78-year-old with history of Crohn’s disease and prior ileocecetomy presenting with concern for small bowel obstruction. (a) 8-h AXR demonstrated oral contrast in multiple dilated loops of small bowel (arrows) and no evidence of colonic contrast. (b) 24-h AXR demonstrates further dilution of the small bowel contrast (arrow) and no colonic contrast passage identified. The patient required surgical management with lysis of adhesions. AXR, abdominal radiographs.
