Preschooler with cystic fibrosis and abdominal pain

Gastrointestinal
AXR of distal intestinal obstruction syndrome / DIOS
AXR supine (above left) shows multiple dilated loops of small bowel with a stool-like mass in the mid-abdomen. AXR upright (above right) shows multiple air-fluid levels. AP image from an enema with high osmolar water soluble contrast (below) shows complete opacification of a normal appearing colon. The terminal ileum could not be refluxed and specifically the stool-like mass in the mid-abdomen could not be reached with contrast.

The diagnosis was small bowel obstruction due to distal intestinal obstruction syndrome in a patient with cystic fibrosis.

Published