Thoracic Aorta. Miliary tuberculosis. An echocardiogram is used to show possible abnormalities of the heart structure and function that may be the cause for symptoms thought to be related to heart disease. High blood pressure usually does not cause symptoms. There is moderate pulmonary artery hypertension. 14. 2020.0. 2020.0. 2020.0. An atheroma, or atheromatous plaque, is an abnormal and reversible accumulation of material in the inner layer of an arterial wall.. This can be dangerous during myringotomy. 2020.0. 2020.0. 2020.0. Introduction. Long-term high blood pressure, however, is a major risk factor for stroke, coronary artery disease, heart failure, atrial fibrillation, peripheral arterial disease, This can be dangerous during myringotomy. 2020.0. The material consists of mostly macrophage cells, or debris, containing lipids, calcium and a variable amount of fibrous connective tissue.The accumulated material forms a swelling in the artery wall, which may intrude into the lumen of the artery, The Annals November issue includes two randomized trials (Servito et al; Shih et al), which address highly relevant questions while illustrating several of the major challenges presented by randomizing cardiothoracic surgery patients.These challenges underline the need for observational studies Long-term high blood pressure, however, is a major risk factor for stroke, coronary artery disease, heart failure, atrial fibrillation, peripheral arterial disease, This is associated with very poor outcome and needs open-heart surgery in an attempt to retrieve the valve. The most common area affected is the lining of the lungs and chest wall. CT ANGIOGRAPHY Normal aortic arch ,descending thoracic and abdominal aorta with diffuse narrowing of both external iliac arteries with absence of atherosclerotic changes favor the diagnosis of peripheral vasculitis. [] Editor/authors are masked to the peer review process and editorial decision-making of their own work and are not able to access this work Editor/authors are masked to the peer review process and editorial decision-making of their own work and are not able to access this work The Annals November issue includes two randomized trials (Servito et al; Shih et al), which address highly relevant questions while illustrating several of the major challenges presented by randomizing cardiothoracic surgery patients.These challenges underline the need for observational studies 1. Tuberculous pericarditis occurs when the membrane surrounding the heart (the pericardium) is infected and fills up with fluid that interferes with the heart's ability to pump blood. Rupture of the aorta is where the expanded valve causes tearing of the walls of the aorta allowing leakage of large amounts of blood around the heart and the aorta and is almost always catastrophic if there is significant rupture. Estimated cancer risks using ECTCM for a 60-year old woman and a 60-year old man were 1 in 715 and 1 in 1911, respectively. Balloon valvuloplasty Opening valves in the heart, which have been narrowed by disease and calcification, through the use of balloons inserted through a leg vein and artery. A combined scan of the heart and aorta had higher LARs, up to 1 in 114 for a 20-year old woman. Mesothelioma is a type of cancer that develops from the thin layer of tissue that covers many of the internal organs (known as the mesothelium). 1. Tuberculous pericarditis occurs when the membrane surrounding the heart (the pericardium) is infected and fills up with fluid that interferes with the heart's ability to pump blood. Atherosclerotic plaques in the aorta can give different symptoms depending on in which of the aortic areas they are located - in the thoracic or in the abdominal. 1. 2020.0. CT ANGIOGRAPHY Normal aortic arch ,descending thoracic and abdominal aorta with diffuse narrowing of both external iliac arteries with absence of atherosclerotic changes favor the diagnosis of peripheral vasculitis. 2020.0. 2020.0. Hypertension (HTN or HT), also known as high blood pressure (HBP), is a long-term medical condition in which the blood pressure in the arteries is persistently elevated. 2020.0. AJOG's Editors have active research programs and, on occasion, publish work in the Journal. 2020.0. A temporary device, inserted through the skin and placed in the aorta, that supplements the contraction of a heart that has been weakened by a heart attack 6. Coronary catheterization is one of the several cardiology diagnostic tests and procedures.Specifically, through the injection of a liquid radiocontrast 1-8 Calculation of fractional flow reserve with CT (FFR-CT) provides an estimation of lesion-specific ischemia. 2020.0. 2020.0. Pertaining to the abdominal cavity. 2020.0. An atheroma, or atheromatous plaque, is an abnormal and reversible accumulation of material in the inner layer of an arterial wall.. celiac artery: The arterial trunk that arises from the abdominal aorta and after a short course divides into the left gastric, common hepatic and splenic arteries. Atherosclerosis is a pattern of the disease arteriosclerosis in which the wall of the artery develops abnormalities, called lesions.These lesions may lead to narrowing due to the buildup of atheromatous plaque. We are talking about a local expansion of the vascular area associated with the increasing weakness of its walls, or about an intramural hematoma, leading to a dissection of the vessel. Note also the bulging sigmoid sinus (yellow arrow). An echocardiogram is used to show possible abnormalities of the heart structure and function that may be the cause for symptoms thought to be related to heart disease. An echocardiogram is used to show possible abnormalities of the heart structure and function that may be the cause for symptoms thought to be related to heart disease. The Journal seeks to publish high Loeys-Dietz syndrome (LDS) is characterized by vascular findings (cerebral, thoracic, and abdominal arterial aneurysms and/or dissections), skeletal manifestations (pectus excavatum or pectus carinatum, scoliosis, joint laxity, arachnodactyly, talipes equinovarus, cervical spine malformation and/or instability), craniofacial features (widely spaced eyes, Mild atherosclerotic plaque(s) in the abdominal aorta. 2020.0. High blood pressure usually does not cause symptoms. The Journal of Pediatrics is an international peer-reviewed journal that advances pediatric research and serves as a practical guide for pediatricians who manage health and diagnose and treat disorders in infants, children, and adolescents.The Journal publishes original work based on standards of excellence and expert review. Other symptoms may CCTA can visualize and help to diagnose the extent and severity of nonobstructive and obstructive CAD, as well as atherosclerotic plaque composition and high-risk features (eg, positive remodeling, low attenuation plaque). Normal left ventricular size and systolic function. Aortic dissection (AD) occurs when an injury to the innermost layer of the aorta allows blood to flow between the layers of the aortic wall, forcing the layers apart. Irritable bowel syndrome is a diagnosis of exclusion and includes recurrent abdominal pain associated with: Related to defecation; Changes in stool frequency; Changes in form/consistency of stool; Features that suggest IBS is NOT the cause of a patients symptoms include: Rectal bleeding; Nocturnal abdominal pain; Weight loss 2020.0. 1-8 Calculation of fractional flow reserve with CT (FFR-CT) provides an estimation of lesion-specific ischemia. Acute Aortic Syndrome; Vascular Anomalies of Aorta, Pulmonary and Systemic vessels; Chest. 2020.0. An echocardiogram shows us the structure and function of the heart. 2020.0. When primary angioplasty was introduced in the 1990s, many expected a dramatic fall in the incidence of chronic total occlusions (CTO), but the incidence of occluded coronary vessels among patients with significant coronary artery disease has remained at 16-18% in recent large series 1 2.The ageing population may, in part, explain this persistently high percentage. celiac artery: The arterial trunk that arises from the abdominal aorta and after a short course divides into the left gastric, common hepatic and splenic arteries. CCTA can visualize and help to diagnose the extent and severity of nonobstructive and obstructive CAD, as well as atherosclerotic plaque composition and high-risk features (eg, positive remodeling, low attenuation plaque). The heart rate was approximately 41-55 bpm. At onset there are usually no symptoms, but if they develop, symptoms generally begin around middle age. A combined scan of the heart and aorta had higher LARs, up to 1 in 114 for a 20-year old woman. The aortic root is normal size. Thoracic Aorta. CCTA can visualize and help to diagnose the extent and severity of nonobstructive and obstructive CAD, as well as atherosclerotic plaque composition and high-risk features (eg, positive remodeling, low attenuation plaque). 2020.0. 2020.0. Coronary catheterization is one of the several cardiology diagnostic tests and procedures.Specifically, through the injection of a liquid radiocontrast With thoracic localization there may be strong painful sensations that last for several hours or days. Evaluation of atherosclerosis. In most cases, this is associated with a sudden onset of severe chest or back pain, often described as "tearing" in character. Also, vomiting, sweating, and lightheadedness may occur. Congenital aortic stenosis occurs in 3 to 5/1000 live births and affects more males; it is associated with coarctation Coarctation of the Aorta Coarctation of the aorta is a localized narrowing of the aortic lumen that results in upper-extremity hypertension, left ventricular hypertrophy, and malperfusion of the abdominal organs and read more and progressive Estimated cancer risks using ECTCM for a 60-year old woman and a 60-year old man were 1 in 715 and 1 in 1911, respectively. Long-term high blood pressure, however, is a major risk factor for stroke, coronary artery disease, heart failure, atrial fibrillation, peripheral arterial disease, 2020.0. 2020.0. The heart rate was approximately 41-55 bpm. The most common area affected is the lining of the lungs and chest wall. 2020.0. 2020.0. A closed-loop obstruction is a particularly dangerous form of bowel obstruction in which a segment of intestine is obstructed both proximally and distally. 2020.0. With thoracic localization there may be strong painful sensations that last for several hours or days. 7. There is calcification of the eardrum (white arrow) and calcific deposits on the stapes and the tendon of the stapedius muscle (black arrow). A cardiac CT scan evaluates atherosclerosis by determining the percent stenosis, whether the lesion is obstructive or non-obstructive, plaque burden, or plaque composition (calcified versus non-calcified). [] Infection of the wall of the body's main artery (the aorta), can cause it to rupture with catastrophic results. The material consists of mostly macrophage cells, or debris, containing lipids, calcium and a variable amount of fibrous connective tissue.The accumulated material forms a swelling in the artery wall, which may intrude into the lumen of the artery, Less commonly the lining of the abdomen and rarely the sac surrounding the heart, or the sac surrounding the testis may be affected. Irritable bowel syndrome is a diagnosis of exclusion and includes recurrent abdominal pain associated with: Related to defecation; Changes in stool frequency; Changes in form/consistency of stool; Features that suggest IBS is NOT the cause of a patients symptoms include: Rectal bleeding; Nocturnal abdominal pain; Weight loss Mesothelioma is a type of cancer that develops from the thin layer of tissue that covers many of the internal organs (known as the mesothelium). Also, vomiting, sweating, and lightheadedness may occur. Other symptoms may 2020.0. We are talking about a local expansion of the vascular area associated with the increasing weakness of its walls, or about an intramural hematoma, leading to a dissection of the vessel. Enter the email address you signed up with and we'll email you a reset link. 7. by Jo Chikwe, MD, FRCS, and Brian Mitzman, MD, FACS. 2. Loeys-Dietz syndrome (LDS) is characterized by vascular findings (cerebral, thoracic, and abdominal arterial aneurysms and/or dissections), skeletal manifestations (pectus excavatum or pectus carinatum, scoliosis, joint laxity, arachnodactyly, talipes equinovarus, cervical spine malformation and/or instability), craniofacial features (widely spaced eyes, Aortic dissection (AD) occurs when an injury to the innermost layer of the aorta allows blood to flow between the layers of the aortic wall, forcing the layers apart. Aortic dissection (AD) occurs when an injury to the innermost layer of the aorta allows blood to flow between the layers of the aortic wall, forcing the layers apart. The highest organ LARs were for lung cancer and, in younger women, breast cancer. A coronary catheterization is a minimally invasive procedure to access the coronary circulation and blood filled chambers of the heart using a catheter.It is performed for both diagnostic and interventional (treatment) purposes. Estimated cancer risks using ECTCM for a 60-year old woman and a 60-year old man were 1 in 715 and 1 in 1911, respectively. celiac artery: The arterial trunk that arises from the abdominal aorta and after a short course divides into the left gastric, common hepatic and splenic arteries. The Journal seeks to publish high Coronary catheterization is one of the several cardiology diagnostic tests and procedures.Specifically, through the injection of a liquid radiocontrast Patients with Turner syndrome should undergo imaging of the heart and aorta for evidence of bicuspid aortic valve, coarctation of the aorta, or dilatation of the ascending thoracic aorta. Mild atherosclerotic plaque(s) in the abdominal aorta. by Jo Chikwe, MD, FRCS, and Brian Mitzman, MD, FACS. What does a cardiac CT show? It provides information on the heart pumping function and heart size. 2020.0. by Jo Chikwe, MD, FRCS, and Brian Mitzman, MD, FACS. Signs and symptoms The Journal of Pediatrics is an international peer-reviewed journal that advances pediatric research and serves as a practical guide for pediatricians who manage health and diagnose and treat disorders in infants, children, and adolescents.The Journal publishes original work based on standards of excellence and expert review. Evaluation of atherosclerosis. What does a cardiac CT show? Atherosclerosis is a pattern of the disease arteriosclerosis in which the wall of the artery develops abnormalities, called lesions.These lesions may lead to narrowing due to the buildup of atheromatous plaque. A cardiac CT scan evaluates atherosclerosis by determining the percent stenosis, whether the lesion is obstructive or non-obstructive, plaque burden, or plaque composition (calcified versus non-calcified). Introduction. Enter the email address you signed up with and we'll email you a reset link. What Does An Echocardiogram Show? Atherosclerosis is a pattern of the disease arteriosclerosis in which the wall of the artery develops abnormalities, called lesions.These lesions may lead to narrowing due to the buildup of atheromatous plaque. When severe, it can result in coronary artery disease, The Journal seeks to publish high Normal left ventricular size and systolic function. 14. Infection of the wall of the body's main artery (the aorta), can cause it to rupture with catastrophic results. The American Journal of Medicine - "The Green Journal" - publishes original clinical research of interest to physicians in internal medicine, both in academia and community-based practice.AJM is the official journal of the Alliance for Academic Internal Medicine, a prestigious group comprising internal medicine department chairs at more than 125 medical schools 2020.0. The Journal of Pediatrics is an international peer-reviewed journal that advances pediatric research and serves as a practical guide for pediatricians who manage health and diagnose and treat disorders in infants, children, and adolescents.The Journal publishes original work based on standards of excellence and expert review. The American Journal of Medicine - "The Green Journal" - publishes original clinical research of interest to physicians in internal medicine, both in academia and community-based practice.AJM is the official journal of the Alliance for Academic Internal Medicine, a prestigious group comprising internal medicine department chairs at more than 125 medical schools The heart rate was approximately 41-55 bpm. 2020.0. Here is an example of a patient within a non-obstructive eccentric lesion with some calcium on the AJOG's Editors have active research programs and, on occasion, publish work in the Journal. Enter the email address you signed up with and we'll email you a reset link. With thoracic localization there may be strong painful sensations that last for several hours or days. 2020.0. Normal left ventricular size and systolic function. 2020.0. When severe, it can result in coronary artery disease, 2020.0. Balloon valvuloplasty Opening valves in the heart, which have been narrowed by disease and calcification, through the use of balloons inserted through a leg vein and artery. The highest organ LARs were for lung cancer and, in younger women, breast cancer. 2. 2020.0. Here is an example of a patient within a non-obstructive eccentric lesion with some calcium on the Signs and symptoms A combined scan of the heart and aorta had higher LARs, up to 1 in 114 for a 20-year old woman. The Annals November issue includes two randomized trials (Servito et al; Shih et al), which address highly relevant questions while illustrating several of the major challenges presented by randomizing cardiothoracic surgery patients.These challenges underline the need for observational studies Less commonly the lining of the abdomen and rarely the sac surrounding the heart, or the sac surrounding the testis may be affected. Patients with Turner syndrome should undergo imaging of the heart and aorta for evidence of bicuspid aortic valve, coarctation of the aorta, or dilatation of the ascending thoracic aorta. 2020.0. When primary angioplasty was introduced in the 1990s, many expected a dramatic fall in the incidence of chronic total occlusions (CTO), but the incidence of occluded coronary vessels among patients with significant coronary artery disease has remained at 16-18% in recent large series 1 2.The ageing population may, in part, explain this persistently high percentage. An atheroma, or atheromatous plaque, is an abnormal and reversible accumulation of material in the inner layer of an arterial wall.. An echocardiogram shows us the structure and function of the heart. 2020.0. Abdominal series shows dilated loops of bowel with multiple air fluids levels. A dangerous compression of the heart by accumulated fluid (pericardial effusion) or blood in the pericardium surrounding the heart. Interpretation Summary Atrial fibrillation. 2020.0. 2020.0. 2. A temporary device, inserted through the skin and placed in the aorta, that supplements the contraction of a heart that has been weakened by a heart attack 6. This can be dangerous during myringotomy. When severe, it can result in coronary artery disease, Pertaining to the abdominal cavity. A coronary catheterization is a minimally invasive procedure to access the coronary circulation and blood filled chambers of the heart using a catheter.It is performed for both diagnostic and interventional (treatment) purposes. Atherosclerotic plaques in the aorta can give different symptoms depending on in which of the aortic areas they are located - in the thoracic or in the abdominal. 2020.0. The most common adverse consequences of atherosclerosis of the abdominal aorta are the development of an aortic aneurysm, or dissecting hematoma of the aorta. 2020.0. Enter the email address you signed up with and we'll email you a reset link. 7. This is associated with very poor outcome and needs open-heart surgery in an attempt to retrieve the valve. 2020.0. Irritable bowel syndrome is a diagnosis of exclusion and includes recurrent abdominal pain associated with: Related to defecation; Changes in stool frequency; Changes in form/consistency of stool; Features that suggest IBS is NOT the cause of a patients symptoms include: Rectal bleeding; Nocturnal abdominal pain; Weight loss What does a cardiac CT show? Evaluation of atherosclerosis. Pertaining to the abdominal cavity. 2020.0. Interpretation Summary Atrial fibrillation. Congenital aortic stenosis occurs in 3 to 5/1000 live births and affects more males; it is associated with coarctation Coarctation of the Aorta Coarctation of the aorta is a localized narrowing of the aortic lumen that results in upper-extremity hypertension, left ventricular hypertrophy, and malperfusion of the abdominal organs and read more and progressive Miliary tuberculosis. The most common area affected is the lining of the lungs and chest wall. Congenital aortic stenosis occurs in 3 to 5/1000 live births and affects more males; it is associated with coarctation Coarctation of the Aorta Coarctation of the aorta is a localized narrowing of the aortic lumen that results in upper-extremity hypertension, left ventricular hypertrophy, and malperfusion of the abdominal organs and read more and progressive 2020.0. A closed-loop obstruction is a particularly dangerous form of bowel obstruction in which a segment of intestine is obstructed both proximally and distally. Hypertension (HTN or HT), also known as high blood pressure (HBP), is a long-term medical condition in which the blood pressure in the arteries is persistently elevated. A cardiac CT scan evaluates atherosclerosis by determining the percent stenosis, whether the lesion is obstructive or non-obstructive, plaque burden, or plaque composition (calcified versus non-calcified). The aortic root is normal size. Patients with Turner syndrome should undergo imaging of the heart and aorta for evidence of bicuspid aortic valve, coarctation of the aorta, or dilatation of the ascending thoracic aorta. The highest organ LARs were for lung cancer and, in younger women, breast cancer. In most cases, this is associated with a sudden onset of severe chest or back pain, often described as "tearing" in character. Tuberculous pericarditis occurs when the membrane surrounding the heart (the pericardium) is infected and fills up with fluid that interferes with the heart's ability to pump blood. Mild atherosclerotic plaque(s) in the abdominal aorta. We are talking about a local expansion of the vascular area associated with the increasing weakness of its walls, or about an intramural hematoma, leading to a dissection of the vessel. 2020.0. 2020.0. Mildly dilated ascending aorta. Enter the email address you signed up with and we'll email you a reset link. Rupture of the aorta is where the expanded valve causes tearing of the walls of the aorta allowing leakage of large amounts of blood around the heart and the aorta and is almost always catastrophic if there is significant rupture. Loeys-Dietz syndrome (LDS) is characterized by vascular findings (cerebral, thoracic, and abdominal arterial aneurysms and/or dissections), skeletal manifestations (pectus excavatum or pectus carinatum, scoliosis, joint laxity, arachnodactyly, talipes equinovarus, cervical spine malformation and/or instability), craniofacial features (widely spaced eyes, 2020.0. Mildly dilated ascending aorta. CT ANGIOGRAPHY Normal aortic arch ,descending thoracic and abdominal aorta with diffuse narrowing of both external iliac arteries with absence of atherosclerotic changes favor the diagnosis of peripheral vasculitis. Mildly dilated ascending aorta. The most common adverse consequences of atherosclerosis of the abdominal aorta are the development of an aortic aneurysm, or dissecting hematoma of the aorta. 2020.0. 2020.0. 2020.0. 2020.0. Mesothelioma is a type of cancer that develops from the thin layer of tissue that covers many of the internal organs (known as the mesothelium). Other symptoms may Also, vomiting, sweating, and lightheadedness may occur. An echocardiogram shows us the structure and function of the heart. This is associated with very poor outcome and needs open-heart surgery in an attempt to retrieve the valve. At onset there are usually no symptoms, but if they develop, symptoms generally begin around middle age. Introduction. The American Journal of Medicine - "The Green Journal" - publishes original clinical research of interest to physicians in internal medicine, both in academia and community-based practice.AJM is the official journal of the Alliance for Academic Internal Medicine, a prestigious group comprising internal medicine department chairs at more than 125 medical schools 1-8 Calculation of fractional flow reserve with CT (FFR-CT) provides an estimation of lesion-specific ischemia. Infection of the wall of the body's main artery (the aorta), can cause it to rupture with catastrophic results. There is calcification of the eardrum (white arrow) and calcific deposits on the stapes and the tendon of the stapedius muscle (black arrow). Rupture of the aorta is where the expanded valve causes tearing of the walls of the aorta allowing leakage of large amounts of blood around the heart and the aorta and is almost always catastrophic if there is significant rupture. 14. There is moderate pulmonary artery hypertension. Note also the bulging sigmoid sinus (yellow arrow). Balloon valvuloplasty Opening valves in the heart, which have been narrowed by disease and calcification, through the use of balloons inserted through a leg vein and artery. Acute Aortic Syndrome; Vascular Anomalies of Aorta, Pulmonary and Systemic vessels; Chest. Acute Aortic Syndrome; Vascular Anomalies of Aorta, Pulmonary and Systemic vessels; Chest. A dangerous compression of the heart by accumulated fluid (pericardial effusion) or blood in the pericardium surrounding the heart. Signs and symptoms Thoracic Aorta. Abdominal series shows dilated loops of bowel with multiple air fluids levels. At onset there are usually no symptoms, but if they develop, symptoms generally begin around middle age. In most cases, this is associated with a sudden onset of severe chest or back pain, often described as "tearing" in character. A coronary catheterization is a minimally invasive procedure to access the coronary circulation and blood filled chambers of the heart using a catheter.It is performed for both diagnostic and interventional (treatment) purposes. AJOG's Editors have active research programs and, on occasion, publish work in the Journal. 2020.0. Here is an example of a patient within a non-obstructive eccentric lesion with some calcium on the Note also the bulging sigmoid sinus (yellow arrow). 2020.0. 2020.0. It provides information on the heart pumping function and heart size. The aortic root is normal size. 2020.0. 2020.0. The most common adverse consequences of atherosclerosis of the abdominal aorta are the development of an aortic aneurysm, or dissecting hematoma of the aorta. Enter the email address you signed up with and we'll email you a reset link. Atherosclerotic plaques in the aorta can give different symptoms depending on in which of the aortic areas they are located - in the thoracic or in the abdominal. When primary angioplasty was introduced in the 1990s, many expected a dramatic fall in the incidence of chronic total occlusions (CTO), but the incidence of occluded coronary vessels among patients with significant coronary artery disease has remained at 16-18% in recent large series 1 2.The ageing population may, in part, explain this persistently high percentage. 2020.0. A dangerous compression of the heart by accumulated fluid (pericardial effusion) or blood in the pericardium surrounding the heart. There is moderate pulmonary artery hypertension. What Does An Echocardiogram Show? 2020.0. 2020.0. Less commonly the lining of the abdomen and rarely the sac surrounding the heart, or the sac surrounding the testis may be affected. Editor/authors are masked to the peer review process and editorial decision-making of their own work and are not able to access this work The material consists of mostly macrophage cells, or debris, containing lipids, calcium and a variable amount of fibrous connective tissue.The accumulated material forms a swelling in the artery wall, which may intrude into the lumen of the artery, [] A temporary device, inserted through the skin and placed in the aorta, that supplements the contraction of a heart that has been weakened by a heart attack 6. What Does An Echocardiogram Show? It provides information on the heart pumping function and heart size. 2020.0. High blood pressure usually does not cause symptoms. There is calcification of the eardrum (white arrow) and calcific deposits on the stapes and the tendon of the stapedius muscle (black arrow). 2020.0. A closed-loop obstruction is a particularly dangerous form of bowel obstruction in which a segment of intestine is obstructed both proximally and distally. Interpretation Summary Atrial fibrillation. Hypertension (HTN or HT), also known as high blood pressure (HBP), is a long-term medical condition in which the blood pressure in the arteries is persistently elevated. Miliary tuberculosis. Abdominal series shows dilated loops of bowel with multiple air fluids levels.