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Diagnostic Ultrasound - Abdomen and Pelvis

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Bowel<br />

Anatomy: <strong>Abdomen</strong><br />

SMALL BOWEL AND LARGE BOWEL<br />

Cecum<br />

Terminal ileum<br />

Right iliopsoas complex<br />

Right common iliac artery<br />

Right common iliac vein<br />

Cecum anterior wall<br />

Ileocecal junction<br />

Terminal ileum<br />

Cecum posterior wall<br />

Abdominal wall musculature<br />

Jejunal loops<br />

Descending colon<br />

Psoas muscle<br />

(Top) Transverse oblique ultrasound through the right iliac fossa (RIF) with graded compression shows a compressed, normal terminal<br />

ileum (between the abdominal wall musculature anteriorly <strong>and</strong> psoas muscle posteriorly) leading to the cecum. (Middle) Transverse<br />

high-resolution ultrasound through the RIF in the same patient shows the ileocecal junction <strong>and</strong> the ileocecal valve. (Bottom)<br />

Transverse ultrasound through the left iliac fossa (LIF) shows a short-axis view of the descending colon with gut signature. Medial to<br />

the descending colon, normal jejunal loops can be seen with valvulae conniventes.<br />

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