Small Bowel Obstruction on POCUS This 28yo female with history of Crohn's disease presents with abdominal pain, nausea, and vomiting, which she reports getting about every 6 months for the past 5 years, but "this is worse". Here is her ultrasound. Which service do you consult? Resolution: Surgery for this SBO, diagnosed with high sensitivity & specificity using 1) plicae circulares (indicates structure is small bowel), 2) dilation of >2.5cm, and 3) alternating peristalsis. Additional imaging such as CT scanning can be ordered by the surgery service. #SBO #SmallBowel #Obstruction #POCUS #Abdominal #clinical #ultrasound #PlicaeCirculares
