Identifying Abdomen ProblemsAbdomen is one of the main causes of your health problems so far. The Doctors suspect it as acute or chronic diseases. For the first test, Medical Experts will examine the patients with some important positions of x-ray before doing further or sophisticated equipment in Hospital or Clinic.

There are some positions of Radiograph for Abdominal Problems:

1. Supine Position for Antero-Posterior Projection : This position is to obtain an acute problem for weakness patients. This vies is also known as KUB.

2. Standing/Erect Position is appropriate to see the right upper area of abdomen to visualize free air level in the peritoneal space. The abdominal area must cover of both diaphragms.

3. LLD Position (Left Lateral Decubitus). Patient turns around to the left side and close to the table with horizontal x-ray beam. This position is to see a free air in the lower of right diaphragm and mechanical obstruction.

4. Inspiration and expiration film to check any mobility of kidney and inflammatory tissue process.

5. Oblique position of abdomen is also needed especially to assess urinary tract where full delineation of ureters presence.

6. Chest x-ray can be another test to make sure any impact of radiated from the abdominal problems. Some problems from diaphragms, costophrenic angles or lower chest area (paracardial region) can be felt like from abdomen. You should know the criteria of normal chest x-ray to differentiate of abdominal abnormalities.

7. Abdominal 3 Positions (Supine, Standing and LLD Views) is to be the best choice for Doctors to see distended area of colon, ileus or sub-ileus, free air or other acute diseases.

8. There is one position with Appendicogram test to see Appendicitis with the severe pain in the right lower abdomen and can be identified as Doughnut sign with abdomen ultrasound examination.

There are some problems of abdomen that you should know with the positions above mentioned

– Urinary tract stones like in kidneys, ureters or bladder organs or urolithiasis.
– Detecting mass in the abdominal area.
– Distended of bowel disease in fully or partially.
– Any metastases if you suspected cancer in 4th stage.
– Ascites is also sensitive with above positions.
– Air fluid level in colon organs.
– Calcifications or pleboliths in pelvic minor area.
– Much fecal mass in the large bowel.
– Gall bladder stone if the shadow of stone is radioopaque (white sign).
– And so on.

For another information about Abdominal problems, you can also read my other posting “what is abdominal x-ray for”. You can learn from another view of my opinion about Abdominal radiograph usage.

Abdomen is complicated organs and to seen more detail of any organ should be checked with another tests to get the right diagnosis before doing the appropriate treatments or medications like:
Abdomen & Pelvic Ultrasound.
Colon In-loop.
– CT-Scan or MRI.
– Laboratory Test (Blood, Urine, feces and Sputum).
– Indoscopy
– Etc.


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