Figure 9.

Additional examples of WSC challenge in patients with history of cancer Top patient (a, b) with known metastatic high-grade serous carcinoma complicated by recurrent SBO. Admission AXR (a) with evidence of SBO. Partial transit of contrast into colon at 8 h (b) consistent with a successful WSC challenge. Managed non-operatively. Bottom patient (c, d) with history of bladder and prostate cancer. Prior cystoprostatectomy, radiation therapy, and ileal conduit creation. 8-h AXR (a) with severely dilated SB and contrast only in stomach. 24-h AXR (b) with diluted contrast in dilated SB. The patient was subsequently taken for surgical management and lysis of adhesions. AXR, abdominal radiographs; SBO, small bowel obstruction; WSC, water-soluble contrast.