Crohn's disease with small-bowel obstruction.
A 23-year-old female patient had a 4-year history of periodic diarrhoea and abdominal pain, and proved Crohn's disease; there was also recent exacerbation of colicky pain and abdominal distension. This erect plain abdominal film shows multiple loops of small bowel distended with gas and fluid levels. There is virtually complete loss of colorectal gas. On plain films, the cause of mechanical small-bowel obstruction is not usually apparent.
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