Roentgen diagnosis of XXXX .

@entity1 @entity32 @entity390 @entity4036 @entity391 @entity3179 @entity490 @entity547 @entity1104 @entity393 @entity551
The primary radiologic evidence of @entity4036 is disturbance of normal small intestine arrangement. Loops of intestine are crowded together as if in a bag, giving the appearance of clumping or sacculation. Dilatation and @entity393 may occur with varying degrees of @entity3179 . Displacement of viscera or @entity551 may be observed. Studies of the small bowel are necessary to demonstrate these conditions and must be made with the @entity1 in the erect as well as the horizontal position. Repeated studies may be required, and the best time to make them is during an acute attack, as the @entity547 may be temporarily reduced during a remission. The clinical symptoms are sufficiently characteristic to suggest the diagnosis in most cases. The usual history is of repeated attacks of @entity490 or discomfort, usually accompanied by distention, varying in periodicity and intensity, with or without @entity390 or @entity391 , and not accompanied by laboratory data or clinical signs indicative of @entity32 . Similar or identical clinical and roentgenologic evidence may be produced by torsion of the small bowel or by peritoneal adhesions. The @entity547 or torsion may reduce spontaneously before or at the time of operation. Therefore, a careful search for abnormal fossae, mesenteric defects or @entity1104 is necessary if herniation or torsion is not found.
