A 28 yrs male patient came in ER with c/o severe abdominal pain vitals stable Abd distended xray abd erect done as shown here spot Dx ???

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Intestinal obstruction

Intestinal obstruction

Multiple air fluid levels -Acute intestinal obstruction

Xray shows airflluid level more on rt side gofor cbc rft lft usg abd rule out peritonities clinicaly see for tenderness garding on rt abdoman rule out perforated appendicities acute cholicystities and pancreatities by amylase lipase if pt not passed flatus stool and no free fluid in usg consider for obstruction

Colon cut off sign- ruled out acute pamcreatitis.

Intestinal obstruction.

Volvulus

Intestinal obstruction

Intestinal obstruction.

small intestinal obstruction

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