Quik Case 7

How to differentiate between small and large bowel on x-ray film:

1-By location: Large bowel is located at the periphery while the small bowel is located at the center of the film.

2-Folds: Large bowel have incomplete folds (haustration) while small bowel have complete folds (valvulae conniventes).

3- Content: Mottled appearance (fecal sign) due to air and fecal matter while small bowel no fecal sign and contains clear air and fluid.

4-Normal diameter of small bowel < 3 cm.
Normal diameter of large bowel < 6 cm.
Normal diameter of cecum < 9 cm.


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