{"id":147,"date":"2015-08-29T17:51:27","date_gmt":"2015-08-29T16:51:27","guid":{"rendered":"http:\/\/gcs3.co.uk\/ed\/?page_id=147"},"modified":"2026-03-04T09:26:20","modified_gmt":"2026-03-04T09:26:20","slug":"abdomen","status":"publish","type":"page","link":"https:\/\/gcs3.co.uk\/ed\/clinical\/the-darkroom\/abdomen\/","title":{"rendered":"Abdomen"},"content":{"rendered":"<p><!-- default-view.php -->\n<div\n\tclass=\"ngg-galleryoverview default-view\n\t ngg-ajax-pagination-none\t\"\n\tid=\"ngg-gallery-7fba3e63d909b8a329d104e075d4f2bd-1\"\n\tdata-nextgen-gallery-id=\"6\"\n\tdata-gallery-id=\"6\"\n\t\tdata-gallery-name=\"Abdominal Images\"\n\t>\n\n\t\t<!-- Thumbnails -->\n\t\t\t\t<div id=\"ngg-image-0\" class=\"ngg-gallery-thumbnail-box\n\t\t\t\t\t\t\t\t\t\t\t\"\n\t\t\t>\n\t\t\t\t\t\t<div class=\"ngg-gallery-thumbnail\">\n\t\t<a href=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/abdominal_swelling1.jpg\"\n\t\t\ttitle=\"Child (~6yo) presenting with visible abdominal mass, easily palpable as well - Wilm&#039;s tumour\"\n\t\t\tdata-src=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/abdominal_swelling1.jpg?t=1667302151\"\n\t\t\tdata-thumbnail=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/thumbs\/thumbs_abdominal_swelling1.jpg?t=1667302151\"\n\t\t\tdata-image-id=\"71\"\n\t\t\tdata-image-name=\"abdominal_swelling1.jpg\"\n\t\t\tdata-title=\"abdominal_swelling1\"\n\t\t\tdata-description=\"Child (~6yo) presenting with visible abdominal mass, easily palpable as well - Wilm&#039;s tumour\"\n\t\t\tdata-image-slug=\"abdominal_swelling1-1\"\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tclass=\"ngg-fancybox\" rel=\"7fba3e63d909b8a329d104e075d4f2bd\">\n\t\t\t\t\t\t\t\t<img class=\"ngg-gallery-thumbnail-img\"\t\t\t\t\ttitle=\"abdominal_swelling1\"\n\t\t\t\t\talt=\"abdominal_swelling1\"\n\t\t\t\t\tsrc=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/thumbs\/thumbs_abdominal_swelling1.jpg?t=1667302151\"\n\t\t\t\t\t\t\t\t\t\twidth=\"240\"\n\t\t\t\t\theight=\"160\"\n\t\t\t\t\t\t\t\t\t\tstyle=\"max-width:100%;\"\n\t\t\t\t\/>\n\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\n\t\t\t\t<div id=\"ngg-image-1\" class=\"ngg-gallery-thumbnail-box\n\t\t\t\t\t\t\t\t\t\t\t\"\n\t\t\t>\n\t\t\t\t\t\t<div class=\"ngg-gallery-thumbnail\">\n\t\t<a href=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/abdominal_swelling2.jpeg\"\n\t\t\ttitle=\"Child (~6yo) presenting with visible abdominal mass, easily palpable as well - Wilm&#039;s tumour\"\n\t\t\tdata-src=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/abdominal_swelling2.jpeg?t=1500644988\"\n\t\t\tdata-thumbnail=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/thumbs\/thumbs_abdominal_swelling2.jpeg?t=1500644988\"\n\t\t\tdata-image-id=\"72\"\n\t\t\tdata-image-name=\"abdominal_swelling2.jpeg\"\n\t\t\tdata-title=\"abdominal_swelling2\"\n\t\t\tdata-description=\"Child (~6yo) presenting with visible abdominal mass, easily palpable as well - Wilm&#039;s tumour\"\n\t\t\tdata-image-slug=\"abdominal_swelling2-1\"\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tclass=\"ngg-fancybox\" rel=\"7fba3e63d909b8a329d104e075d4f2bd\">\n\t\t\t\t\t\t\t\t<img class=\"ngg-gallery-thumbnail-img\"\t\t\t\t\ttitle=\"abdominal_swelling2\"\n\t\t\t\t\talt=\"abdominal_swelling2\"\n\t\t\t\t\tsrc=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/thumbs\/thumbs_abdominal_swelling2.jpeg?t=1500644988\"\n\t\t\t\t\t\t\t\t\t\twidth=\"240\"\n\t\t\t\t\theight=\"160\"\n\t\t\t\t\t\t\t\t\t\tstyle=\"max-width:100%;\"\n\t\t\t\t\/>\n\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\n\t\t\t\t<div id=\"ngg-image-2\" class=\"ngg-gallery-thumbnail-box\n\t\t\t\t\t\t\t\t\t\t\t\"\n\t\t\t>\n\t\t\t\t\t\t<div class=\"ngg-gallery-thumbnail\">\n\t\t<a href=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/air_falciform.jpg\"\n\t\t\ttitle=\"Subtle sign of free intraperitoneal air - situated around the falciform ligament in the RUQ\"\n\t\t\tdata-src=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/air_falciform.jpg?t=1500644988\"\n\t\t\tdata-thumbnail=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/thumbs\/thumbs_air_falciform.jpg?t=1500644988\"\n\t\t\tdata-image-id=\"73\"\n\t\t\tdata-image-name=\"air_falciform.jpg\"\n\t\t\tdata-title=\"air_falciform\"\n\t\t\tdata-description=\"Subtle sign of free intraperitoneal air - situated around the falciform ligament in the RUQ\"\n\t\t\tdata-image-slug=\"air_falciform-1\"\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tclass=\"ngg-fancybox\" rel=\"7fba3e63d909b8a329d104e075d4f2bd\">\n\t\t\t\t\t\t\t\t<img class=\"ngg-gallery-thumbnail-img\"\t\t\t\t\ttitle=\"air_falciform\"\n\t\t\t\t\talt=\"air_falciform\"\n\t\t\t\t\tsrc=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/thumbs\/thumbs_air_falciform.jpg?t=1500644988\"\n\t\t\t\t\t\t\t\t\t\twidth=\"240\"\n\t\t\t\t\theight=\"160\"\n\t\t\t\t\t\t\t\t\t\tstyle=\"max-width:100%;\"\n\t\t\t\t\/>\n\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\n\t\t\t\t<div id=\"ngg-image-3\" class=\"ngg-gallery-thumbnail-box\n\t\t\t\t\t\t\t\t\t\t\t\"\n\t\t\t>\n\t\t\t\t\t\t<div class=\"ngg-gallery-thumbnail\">\n\t\t<a href=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/bodypacker1.jpg\"\n\t\t\ttitle=\"AXR of a bodypacker who had ingested multiple pellets containing cocaine in this instance. Visibility on plain film depends on the the wrapping and size\/number of packages. Ultasound or CT may help in equivocal cases\"\n\t\t\tdata-src=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/bodypacker1.jpg?t=1500644989\"\n\t\t\tdata-thumbnail=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/thumbs\/thumbs_bodypacker1.jpg?t=1500644989\"\n\t\t\tdata-image-id=\"74\"\n\t\t\tdata-image-name=\"bodypacker1.jpg\"\n\t\t\tdata-title=\"bodypacker#1\"\n\t\t\tdata-description=\"AXR of a bodypacker who had ingested multiple pellets containing cocaine in this instance. Visibility on plain film depends on the the wrapping and size\/number of packages. Ultasound or CT may help in equivocal cases\"\n\t\t\tdata-image-slug=\"bodypacker1-1\"\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tclass=\"ngg-fancybox\" rel=\"7fba3e63d909b8a329d104e075d4f2bd\">\n\t\t\t\t\t\t\t\t<img class=\"ngg-gallery-thumbnail-img\"\t\t\t\t\ttitle=\"bodypacker#1\"\n\t\t\t\t\talt=\"bodypacker#1\"\n\t\t\t\t\tsrc=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/thumbs\/thumbs_bodypacker1.jpg?t=1500644989\"\n\t\t\t\t\t\t\t\t\t\twidth=\"240\"\n\t\t\t\t\theight=\"160\"\n\t\t\t\t\t\t\t\t\t\tstyle=\"max-width:100%;\"\n\t\t\t\t\/>\n\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\n\t\t\t\t<div id=\"ngg-image-4\" class=\"ngg-gallery-thumbnail-box\n\t\t\t\t\t\t\t\t\t\t\t\"\n\t\t\t>\n\t\t\t\t\t\t<div class=\"ngg-gallery-thumbnail\">\n\t\t<a href=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/bodypacker2.jpg\"\n\t\t\ttitle=\"Consider bowel prep as the safest quickest way of transitting ingested packages. Instrumentation to remove them is more likely to result in rupturing of a package and death\"\n\t\t\tdata-src=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/bodypacker2.jpg?t=1500644989\"\n\t\t\tdata-thumbnail=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/thumbs\/thumbs_bodypacker2.jpg?t=1500644989\"\n\t\t\tdata-image-id=\"75\"\n\t\t\tdata-image-name=\"bodypacker2.jpg\"\n\t\t\tdata-title=\"bodypacker#2\"\n\t\t\tdata-description=\"Consider bowel prep as the safest quickest way of transitting ingested packages. Instrumentation to remove them is more likely to result in rupturing of a package and death\"\n\t\t\tdata-image-slug=\"bodypacker2-1\"\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tclass=\"ngg-fancybox\" rel=\"7fba3e63d909b8a329d104e075d4f2bd\">\n\t\t\t\t\t\t\t\t<img class=\"ngg-gallery-thumbnail-img\"\t\t\t\t\ttitle=\"bodypacker#2\"\n\t\t\t\t\talt=\"bodypacker#2\"\n\t\t\t\t\tsrc=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/thumbs\/thumbs_bodypacker2.jpg?t=1500644989\"\n\t\t\t\t\t\t\t\t\t\twidth=\"240\"\n\t\t\t\t\theight=\"160\"\n\t\t\t\t\t\t\t\t\t\tstyle=\"max-width:100%;\"\n\t\t\t\t\/>\n\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\n\t\t\t\t<div id=\"ngg-image-5\" class=\"ngg-gallery-thumbnail-box\n\t\t\t\t\t\t\t\t\t\t\t\"\n\t\t\t>\n\t\t\t\t\t\t<div class=\"ngg-gallery-thumbnail\">\n\t\t<a href=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/gallstone1.jpg\"\n\t\t\ttitle=\"Gallstone visible on CT (marked)\"\n\t\t\tdata-src=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/gallstone1.jpg?t=1500644989\"\n\t\t\tdata-thumbnail=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/thumbs\/thumbs_gallstone1.jpg?t=1500644989\"\n\t\t\tdata-image-id=\"76\"\n\t\t\tdata-image-name=\"gallstone1.jpg\"\n\t\t\tdata-title=\"gallstone1\"\n\t\t\tdata-description=\"Gallstone visible on CT (marked)\"\n\t\t\tdata-image-slug=\"gallstone1-1\"\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tclass=\"ngg-fancybox\" rel=\"7fba3e63d909b8a329d104e075d4f2bd\">\n\t\t\t\t\t\t\t\t<img class=\"ngg-gallery-thumbnail-img\"\t\t\t\t\ttitle=\"gallstone1\"\n\t\t\t\t\talt=\"gallstone1\"\n\t\t\t\t\tsrc=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/thumbs\/thumbs_gallstone1.jpg?t=1500644989\"\n\t\t\t\t\t\t\t\t\t\twidth=\"240\"\n\t\t\t\t\theight=\"160\"\n\t\t\t\t\t\t\t\t\t\tstyle=\"max-width:100%;\"\n\t\t\t\t\/>\n\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\n\t\t\t\t<div id=\"ngg-image-6\" class=\"ngg-gallery-thumbnail-box\n\t\t\t\t\t\t\t\t\t\t\t\"\n\t\t\t>\n\t\t\t\t\t\t<div class=\"ngg-gallery-thumbnail\">\n\t\t<a href=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/gallstone2.jpg\"\n\t\t\ttitle=\"\"\n\t\t\tdata-src=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/gallstone2.jpg?t=1500644989\"\n\t\t\tdata-thumbnail=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/thumbs\/thumbs_gallstone2.jpg?t=1500644989\"\n\t\t\tdata-image-id=\"77\"\n\t\t\tdata-image-name=\"gallstone2.jpg\"\n\t\t\tdata-title=\"gallstone2\"\n\t\t\tdata-description=\"\"\n\t\t\tdata-image-slug=\"gallstone2-1\"\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tclass=\"ngg-fancybox\" rel=\"7fba3e63d909b8a329d104e075d4f2bd\">\n\t\t\t\t\t\t\t\t<img class=\"ngg-gallery-thumbnail-img\"\t\t\t\t\ttitle=\"gallstone2\"\n\t\t\t\t\talt=\"gallstone2\"\n\t\t\t\t\tsrc=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/thumbs\/thumbs_gallstone2.jpg?t=1500644989\"\n\t\t\t\t\t\t\t\t\t\twidth=\"240\"\n\t\t\t\t\theight=\"160\"\n\t\t\t\t\t\t\t\t\t\tstyle=\"max-width:100%;\"\n\t\t\t\t\/>\n\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\n\t\t\t\t<div id=\"ngg-image-7\" class=\"ngg-gallery-thumbnail-box\n\t\t\t\t\t\t\t\t\t\t\t\"\n\t\t\t>\n\t\t\t\t\t\t<div class=\"ngg-gallery-thumbnail\">\n\t\t<a href=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/gallstone3.jpg\"\n\t\t\ttitle=\"Large rounded opacity visible overlying Rt renal shadow in RUQ on plain film\"\n\t\t\tdata-src=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/gallstone3.jpg?t=1500644989\"\n\t\t\tdata-thumbnail=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/thumbs\/thumbs_gallstone3.jpg?t=1500644989\"\n\t\t\tdata-image-id=\"78\"\n\t\t\tdata-image-name=\"gallstone3.jpg\"\n\t\t\tdata-title=\"gallstone3\"\n\t\t\tdata-description=\"Large rounded opacity visible overlying Rt renal shadow in RUQ on plain film\"\n\t\t\tdata-image-slug=\"gallstone3-1\"\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tclass=\"ngg-fancybox\" rel=\"7fba3e63d909b8a329d104e075d4f2bd\">\n\t\t\t\t\t\t\t\t<img class=\"ngg-gallery-thumbnail-img\"\t\t\t\t\ttitle=\"gallstone3\"\n\t\t\t\t\talt=\"gallstone3\"\n\t\t\t\t\tsrc=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/thumbs\/thumbs_gallstone3.jpg?t=1500644989\"\n\t\t\t\t\t\t\t\t\t\twidth=\"240\"\n\t\t\t\t\theight=\"160\"\n\t\t\t\t\t\t\t\t\t\tstyle=\"max-width:100%;\"\n\t\t\t\t\/>\n\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\n\t\t\t\t<div id=\"ngg-image-8\" class=\"ngg-gallery-thumbnail-box\n\t\t\t\t\t\t\t\t\t\t\t\"\n\t\t\t>\n\t\t\t\t\t\t<div class=\"ngg-gallery-thumbnail\">\n\t\t<a href=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/howzat.jpg\"\n\t\t\ttitle=\"Not a contrast filled bladder, but a cricket ball. If the stitching had been visible radiologically it would be an even better XR!\"\n\t\t\tdata-src=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/howzat.jpg?t=1500644989\"\n\t\t\tdata-thumbnail=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/thumbs\/thumbs_howzat.jpg?t=1500644989\"\n\t\t\tdata-image-id=\"79\"\n\t\t\tdata-image-name=\"howzat.jpg\"\n\t\t\tdata-title=\"howzat\"\n\t\t\tdata-description=\"Not a contrast filled bladder, but a cricket ball. If the stitching had been visible radiologically it would be an even better XR!\"\n\t\t\tdata-image-slug=\"howzat-1\"\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tclass=\"ngg-fancybox\" rel=\"7fba3e63d909b8a329d104e075d4f2bd\">\n\t\t\t\t\t\t\t\t<img class=\"ngg-gallery-thumbnail-img\"\t\t\t\t\ttitle=\"howzat\"\n\t\t\t\t\talt=\"howzat\"\n\t\t\t\t\tsrc=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/thumbs\/thumbs_howzat.jpg?t=1500644989\"\n\t\t\t\t\t\t\t\t\t\twidth=\"240\"\n\t\t\t\t\theight=\"160\"\n\t\t\t\t\t\t\t\t\t\tstyle=\"max-width:100%;\"\n\t\t\t\t\/>\n\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\n\t\t\t\t<div id=\"ngg-image-9\" class=\"ngg-gallery-thumbnail-box\n\t\t\t\t\t\t\t\t\t\t\t\"\n\t\t\t>\n\t\t\t\t\t\t<div class=\"ngg-gallery-thumbnail\">\n\t\t<a href=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/liverlac1.jpg\"\n\t\t\ttitle=\"Blunt abdominal trauma resulting in impressive liver laceration\"\n\t\t\tdata-src=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/liverlac1.jpg?t=1500644989\"\n\t\t\tdata-thumbnail=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/thumbs\/thumbs_liverlac1.jpg?t=1500644989\"\n\t\t\tdata-image-id=\"80\"\n\t\t\tdata-image-name=\"liverlac1.jpg\"\n\t\t\tdata-title=\"liverlac1\"\n\t\t\tdata-description=\"Blunt abdominal trauma resulting in impressive liver laceration\"\n\t\t\tdata-image-slug=\"liverlac1-1\"\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tclass=\"ngg-fancybox\" rel=\"7fba3e63d909b8a329d104e075d4f2bd\">\n\t\t\t\t\t\t\t\t<img class=\"ngg-gallery-thumbnail-img\"\t\t\t\t\ttitle=\"liverlac1\"\n\t\t\t\t\talt=\"liverlac1\"\n\t\t\t\t\tsrc=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/thumbs\/thumbs_liverlac1.jpg?t=1500644989\"\n\t\t\t\t\t\t\t\t\t\twidth=\"240\"\n\t\t\t\t\theight=\"160\"\n\t\t\t\t\t\t\t\t\t\tstyle=\"max-width:100%;\"\n\t\t\t\t\/>\n\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\n\t\t\t\t<div id=\"ngg-image-10\" class=\"ngg-gallery-thumbnail-box\n\t\t\t\t\t\t\t\t\t\t\t\"\n\t\t\t>\n\t\t\t\t\t\t<div class=\"ngg-gallery-thumbnail\">\n\t\t<a href=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/liverlac2.jpg\"\n\t\t\ttitle=\"Think about liver injury if you have unexpectedly abnormal LFTs\"\n\t\t\tdata-src=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/liverlac2.jpg?t=1500644989\"\n\t\t\tdata-thumbnail=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/thumbs\/thumbs_liverlac2.jpg?t=1500644989\"\n\t\t\tdata-image-id=\"81\"\n\t\t\tdata-image-name=\"liverlac2.jpg\"\n\t\t\tdata-title=\"liverlac2\"\n\t\t\tdata-description=\"Think about liver injury if you have unexpectedly abnormal LFTs\"\n\t\t\tdata-image-slug=\"liverlac2-1\"\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tclass=\"ngg-fancybox\" rel=\"7fba3e63d909b8a329d104e075d4f2bd\">\n\t\t\t\t\t\t\t\t<img class=\"ngg-gallery-thumbnail-img\"\t\t\t\t\ttitle=\"liverlac2\"\n\t\t\t\t\talt=\"liverlac2\"\n\t\t\t\t\tsrc=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/thumbs\/thumbs_liverlac2.jpg?t=1500644989\"\n\t\t\t\t\t\t\t\t\t\twidth=\"240\"\n\t\t\t\t\theight=\"160\"\n\t\t\t\t\t\t\t\t\t\tstyle=\"max-width:100%;\"\n\t\t\t\t\/>\n\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\n\t\t\t\t<div id=\"ngg-image-11\" class=\"ngg-gallery-thumbnail-box\n\t\t\t\t\t\t\t\t\t\t\t\"\n\t\t\t>\n\t\t\t\t\t\t<div class=\"ngg-gallery-thumbnail\">\n\t\t<a href=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/pneumoperitoneum.jpg\"\n\t\t\ttitle=\"Don&#039;t misses the air under the right hemidiaphragm.....\"\n\t\t\tdata-src=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/pneumoperitoneum.jpg?t=1500644990\"\n\t\t\tdata-thumbnail=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/thumbs\/thumbs_pneumoperitoneum.jpg?t=1500644990\"\n\t\t\tdata-image-id=\"82\"\n\t\t\tdata-image-name=\"pneumoperitoneum.jpg\"\n\t\t\tdata-title=\"pneumoperitoneum\"\n\t\t\tdata-description=\"Don&#039;t misses the air under the right hemidiaphragm.....\"\n\t\t\tdata-image-slug=\"pneumoperitoneum-1\"\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tclass=\"ngg-fancybox\" rel=\"7fba3e63d909b8a329d104e075d4f2bd\">\n\t\t\t\t\t\t\t\t<img class=\"ngg-gallery-thumbnail-img\"\t\t\t\t\ttitle=\"pneumoperitoneum\"\n\t\t\t\t\talt=\"pneumoperitoneum\"\n\t\t\t\t\tsrc=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/thumbs\/thumbs_pneumoperitoneum.jpg?t=1500644990\"\n\t\t\t\t\t\t\t\t\t\twidth=\"240\"\n\t\t\t\t\theight=\"160\"\n\t\t\t\t\t\t\t\t\t\tstyle=\"max-width:100%;\"\n\t\t\t\t\/>\n\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\n\t\t\t\t<div id=\"ngg-image-12\" class=\"ngg-gallery-thumbnail-box\n\t\t\t\t\t\t\t\t\t\t\t\"\n\t\t\t>\n\t\t\t\t\t\t<div class=\"ngg-gallery-thumbnail\">\n\t\t<a href=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/volv1.jpg\"\n\t\t\ttitle=\"Sigmoid volvulus with the classic &#039;coffee bean&#039; sign\"\n\t\t\tdata-src=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/volv1.jpg?t=1500644990\"\n\t\t\tdata-thumbnail=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/thumbs\/thumbs_volv1.jpg?t=1500644990\"\n\t\t\tdata-image-id=\"83\"\n\t\t\tdata-image-name=\"volv1.jpg\"\n\t\t\tdata-title=\"volv1\"\n\t\t\tdata-description=\"Sigmoid volvulus with the classic &#039;coffee bean&#039; sign\"\n\t\t\tdata-image-slug=\"volv1-1\"\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tclass=\"ngg-fancybox\" rel=\"7fba3e63d909b8a329d104e075d4f2bd\">\n\t\t\t\t\t\t\t\t<img class=\"ngg-gallery-thumbnail-img\"\t\t\t\t\ttitle=\"volv1\"\n\t\t\t\t\talt=\"volv1\"\n\t\t\t\t\tsrc=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/thumbs\/thumbs_volv1.jpg?t=1500644990\"\n\t\t\t\t\t\t\t\t\t\twidth=\"240\"\n\t\t\t\t\theight=\"160\"\n\t\t\t\t\t\t\t\t\t\tstyle=\"max-width:100%;\"\n\t\t\t\t\/>\n\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\n\t\t\t\t<div id=\"ngg-image-13\" class=\"ngg-gallery-thumbnail-box\n\t\t\t\t\t\t\t\t\t\t\t\"\n\t\t\t>\n\t\t\t\t\t\t<div class=\"ngg-gallery-thumbnail\">\n\t\t<a href=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/volv2.jpg\"\n\t\t\ttitle=\"Sigmoid volvulus with the classic &#039;coffee bean&#039; sign\"\n\t\t\tdata-src=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/volv2.jpg?t=1500644990\"\n\t\t\tdata-thumbnail=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/thumbs\/thumbs_volv2.jpg?t=1500644990\"\n\t\t\tdata-image-id=\"84\"\n\t\t\tdata-image-name=\"volv2.jpg\"\n\t\t\tdata-title=\"volv2\"\n\t\t\tdata-description=\"Sigmoid volvulus with the classic &#039;coffee bean&#039; sign\"\n\t\t\tdata-image-slug=\"volv2-1\"\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tclass=\"ngg-fancybox\" rel=\"7fba3e63d909b8a329d104e075d4f2bd\">\n\t\t\t\t\t\t\t\t<img class=\"ngg-gallery-thumbnail-img\"\t\t\t\t\ttitle=\"volv2\"\n\t\t\t\t\talt=\"volv2\"\n\t\t\t\t\tsrc=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/thumbs\/thumbs_volv2.jpg?t=1500644990\"\n\t\t\t\t\t\t\t\t\t\twidth=\"240\"\n\t\t\t\t\theight=\"160\"\n\t\t\t\t\t\t\t\t\t\tstyle=\"max-width:100%;\"\n\t\t\t\t\/>\n\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\n\t\t\t\t<div id=\"ngg-image-14\" class=\"ngg-gallery-thumbnail-box\n\t\t\t\t\t\t\t\t\t\t\t\"\n\t\t\t>\n\t\t\t\t\t\t<div class=\"ngg-gallery-thumbnail\">\n\t\t<a href=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/vuj.jpg\"\n\t\t\ttitle=\"CTKUB now superceding IVU as initial investigation of ?ureteric stone\"\n\t\t\tdata-src=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/vuj.jpg?t=1500644990\"\n\t\t\tdata-thumbnail=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/thumbs\/thumbs_vuj.jpg?t=1500644990\"\n\t\t\tdata-image-id=\"85\"\n\t\t\tdata-image-name=\"vuj.jpg\"\n\t\t\tdata-title=\"vuj\"\n\t\t\tdata-description=\"CTKUB now superceding IVU as initial investigation of ?ureteric stone\"\n\t\t\tdata-image-slug=\"vuj-1\"\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tclass=\"ngg-fancybox\" rel=\"7fba3e63d909b8a329d104e075d4f2bd\">\n\t\t\t\t\t\t\t\t<img class=\"ngg-gallery-thumbnail-img\"\t\t\t\t\ttitle=\"vuj\"\n\t\t\t\t\talt=\"vuj\"\n\t\t\t\t\tsrc=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/thumbs\/thumbs_vuj.jpg?t=1500644990\"\n\t\t\t\t\t\t\t\t\t\twidth=\"240\"\n\t\t\t\t\theight=\"160\"\n\t\t\t\t\t\t\t\t\t\tstyle=\"max-width:100%;\"\n\t\t\t\t\/>\n\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\n\t\t\t\t<div id=\"ngg-image-15\" class=\"ngg-gallery-thumbnail-box\n\t\t\t\t\t\t\t\t\t\t\t\"\n\t\t\t>\n\t\t\t\t\t\t<div class=\"ngg-gallery-thumbnail\">\n\t\t<a href=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/vuj1.jpg\"\n\t\t\ttitle=\"Rt VUJ stone causing delay on the serial IVU films\"\n\t\t\tdata-src=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/vuj1.jpg?t=1500644990\"\n\t\t\tdata-thumbnail=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/thumbs\/thumbs_vuj1.jpg?t=1500644990\"\n\t\t\tdata-image-id=\"86\"\n\t\t\tdata-image-name=\"vuj1.jpg\"\n\t\t\tdata-title=\"vuj1\"\n\t\t\tdata-description=\"Rt VUJ stone causing delay on the serial IVU films\"\n\t\t\tdata-image-slug=\"vuj1-1\"\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tclass=\"ngg-fancybox\" rel=\"7fba3e63d909b8a329d104e075d4f2bd\">\n\t\t\t\t\t\t\t\t<img class=\"ngg-gallery-thumbnail-img\"\t\t\t\t\ttitle=\"vuj1\"\n\t\t\t\t\talt=\"vuj1\"\n\t\t\t\t\tsrc=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/thumbs\/thumbs_vuj1.jpg?t=1500644990\"\n\t\t\t\t\t\t\t\t\t\twidth=\"240\"\n\t\t\t\t\theight=\"160\"\n\t\t\t\t\t\t\t\t\t\tstyle=\"max-width:100%;\"\n\t\t\t\t\/>\n\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\n\t\t\t\t<div id=\"ngg-image-16\" class=\"ngg-gallery-thumbnail-box\n\t\t\t\t\t\t\t\t\t\t\t\"\n\t\t\t>\n\t\t\t\t\t\t<div class=\"ngg-gallery-thumbnail\">\n\t\t<a href=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/vuj2.jpg\"\n\t\t\ttitle=\"Rt VUJ stone causing delay on the serial IVU films\"\n\t\t\tdata-src=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/vuj2.jpg?t=1500644990\"\n\t\t\tdata-thumbnail=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/thumbs\/thumbs_vuj2.jpg?t=1500644990\"\n\t\t\tdata-image-id=\"87\"\n\t\t\tdata-image-name=\"vuj2.jpg\"\n\t\t\tdata-title=\"vuj2\"\n\t\t\tdata-description=\"Rt VUJ stone causing delay on the serial IVU films\"\n\t\t\tdata-image-slug=\"vuj2-1\"\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tclass=\"ngg-fancybox\" rel=\"7fba3e63d909b8a329d104e075d4f2bd\">\n\t\t\t\t\t\t\t\t<img class=\"ngg-gallery-thumbnail-img\"\t\t\t\t\ttitle=\"vuj2\"\n\t\t\t\t\talt=\"vuj2\"\n\t\t\t\t\tsrc=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/thumbs\/thumbs_vuj2.jpg?t=1500644990\"\n\t\t\t\t\t\t\t\t\t\twidth=\"240\"\n\t\t\t\t\theight=\"160\"\n\t\t\t\t\t\t\t\t\t\tstyle=\"max-width:100%;\"\n\t\t\t\t\/>\n\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\n\t\t\t\t<div id=\"ngg-image-17\" class=\"ngg-gallery-thumbnail-box\n\t\t\t\t\t\t\t\t\t\t\t\"\n\t\t\t>\n\t\t\t\t\t\t<div class=\"ngg-gallery-thumbnail\">\n\t\t<a href=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/vuj3.jpg\"\n\t\t\ttitle=\"Rt VUJ stone causing delay on the serial IVU films\"\n\t\t\tdata-src=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/vuj3.jpg?t=1500644990\"\n\t\t\tdata-thumbnail=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/thumbs\/thumbs_vuj3.jpg?t=1500644990\"\n\t\t\tdata-image-id=\"88\"\n\t\t\tdata-image-name=\"vuj3.jpg\"\n\t\t\tdata-title=\"vuj3\"\n\t\t\tdata-description=\"Rt VUJ stone causing delay on the serial IVU films\"\n\t\t\tdata-image-slug=\"vuj3-1\"\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tclass=\"ngg-fancybox\" rel=\"7fba3e63d909b8a329d104e075d4f2bd\">\n\t\t\t\t\t\t\t\t<img class=\"ngg-gallery-thumbnail-img\"\t\t\t\t\ttitle=\"vuj3\"\n\t\t\t\t\talt=\"vuj3\"\n\t\t\t\t\tsrc=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/thumbs\/thumbs_vuj3.jpg?t=1500644990\"\n\t\t\t\t\t\t\t\t\t\twidth=\"240\"\n\t\t\t\t\theight=\"160\"\n\t\t\t\t\t\t\t\t\t\tstyle=\"max-width:100%;\"\n\t\t\t\t\/>\n\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\n\t\t\t\t<div id=\"ngg-image-18\" class=\"ngg-gallery-thumbnail-box\n\t\t\t\t\t\t\t\t\t\t\t\"\n\t\t\t>\n\t\t\t\t\t\t<div class=\"ngg-gallery-thumbnail\">\n\t\t<a href=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/pneumoperitoneum_skiff.jpg\"\n\t\t\ttitle=\"Just a skiff of free air under the right hemidiaphragm - easily missed - signifies a perforated viscus - in this case a duodenal ulcer\"\n\t\t\tdata-src=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/pneumoperitoneum_skiff.jpg?t=1500644990\"\n\t\t\tdata-thumbnail=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/thumbs\/thumbs_pneumoperitoneum_skiff.jpg?t=1500644990\"\n\t\t\tdata-image-id=\"529\"\n\t\t\tdata-image-name=\"pneumoperitoneum_skiff.jpg\"\n\t\t\tdata-title=\"pneumoperitoneum_skiff\"\n\t\t\tdata-description=\"Just a skiff of free air under the right hemidiaphragm - easily missed - signifies a perforated viscus - in this case a duodenal ulcer\"\n\t\t\tdata-image-slug=\"pneumoperitoneum_skiff\"\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tclass=\"ngg-fancybox\" rel=\"7fba3e63d909b8a329d104e075d4f2bd\">\n\t\t\t\t\t\t\t\t<img class=\"ngg-gallery-thumbnail-img\"\t\t\t\t\ttitle=\"pneumoperitoneum_skiff\"\n\t\t\t\t\talt=\"pneumoperitoneum_skiff\"\n\t\t\t\t\tsrc=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/thumbs\/thumbs_pneumoperitoneum_skiff.jpg?t=1500644990\"\n\t\t\t\t\t\t\t\t\t\twidth=\"240\"\n\t\t\t\t\theight=\"160\"\n\t\t\t\t\t\t\t\t\t\tstyle=\"max-width:100%;\"\n\t\t\t\t\/>\n\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\n\t\t\t\t<div id=\"ngg-image-19\" class=\"ngg-gallery-thumbnail-box\n\t\t\t\t\t\t\t\t\t\t\t\"\n\t\t\t>\n\t\t\t\t\t\t<div class=\"ngg-gallery-thumbnail\">\n\t\t<a href=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/volvulus8.jpg\"\n\t\t\ttitle=\"Patient with recurrent sigmoid volvulus (CXR)\"\n\t\t\tdata-src=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/volvulus8.jpg?t=1500644990\"\n\t\t\tdata-thumbnail=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/thumbs\/thumbs_volvulus8.jpg?t=1500644990\"\n\t\t\tdata-image-id=\"533\"\n\t\t\tdata-image-name=\"volvulus8.jpg\"\n\t\t\tdata-title=\"volvulus8\"\n\t\t\tdata-description=\"Patient with recurrent sigmoid volvulus (CXR)\"\n\t\t\tdata-image-slug=\"volvulus8\"\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tclass=\"ngg-fancybox\" rel=\"7fba3e63d909b8a329d104e075d4f2bd\">\n\t\t\t\t\t\t\t\t<img class=\"ngg-gallery-thumbnail-img\"\t\t\t\t\ttitle=\"volvulus8\"\n\t\t\t\t\talt=\"volvulus8\"\n\t\t\t\t\tsrc=\"https:\/\/gcs3.co.uk\/ed\/wp-content\/gallery\/abdominal-images-1\/thumbs\/thumbs_volvulus8.jpg?t=1500644990\"\n\t\t\t\t\t\t\t\t\t\twidth=\"240\"\n\t\t\t\t\theight=\"160\"\n\t\t\t\t\t\t\t\t\t\tstyle=\"max-width:100%;\"\n\t\t\t\t\/>\n\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\n\t\n\t\t<div class=\"slideshowlink\">\n\t\t<a href='https:\/\/gcs3.co.uk\/ed\/clinical\/the-darkroom\/abdomen\/nggallery\/slideshow'>[Show slideshow]<\/a>\n\n\t<\/div>\n\t\n\t\t<!-- Pagination -->\n\t\t<div class=\"ngg-navigation\"><span class=\"current\">1<\/span>\n<a class=\"page-numbers\" data-pageid=\"2\" href=\"https:\/\/gcs3.co.uk\/ed\/clinical\/the-darkroom\/abdomen\/nggallery\/page\/2\">2<\/a>\n<a class=\"prev\" href=\"https:\/\/gcs3.co.uk\/ed\/clinical\/the-darkroom\/abdomen\/nggallery\/page\/2\" data-pageid=\"2\">&#9658;<\/a><\/div>\t<\/div>\n<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[Show slideshow] 1 2 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