Abdominal X-ray

Abnormal calcification

Artifact and foreign body

Artifact can be medical or due to abnormally internalised objects.

This page demonstrates a selection of the many medical artifacts you may come across, or objects that are ingested by patients.

Key points

  • When presenting your findings of an abdominal X-ray note the presence of artifact - internal or external
Hover over image to show findings

Naso-jejunal tube

  • Placed for the purpose of enteral feeding
  • The tube passes through the stomach and forms a C-shape as it navigates the 4 parts of the duodenum (D1-4)
  • The tube tip lies beyond the duodenojejunal flexure which lies on the left
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Hover over image to show findings

Pig-tail (JJ) stent

  • A ureteric stent has been placed to relieve ureteric obstruction
  • The catheter has loops (pig-tails) at both ends which hold it in place
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Hover over image to show findings

Colonic stent

  • Large bowel obstruction can be treated with placement of a metallic colonic stent
  • This is often used as a temporary measure allowing a patient to recover from the effects of obstruction prior to definitive colonic resection
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Hover over image to show findings

Inferior vena cava (IVC) filter

  • An IVC filter may be used to reduce the risk of large pulmonary emboli
  • Most commonly used in patients who have had pulmonary embolism but for whom anticoagulation is contraindicated
  • IVC filters are self-expanding wire structures shaped like an umbrella
  • Small clots may pass between the wires of the filter but large clots are prevented from reaching the pulmonary arteries
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Foreign body - ingested
Hover over image to show findings

Foreign body - ingested

  • This psychiatric patient has ingested numerous radio-opaque objects
  • The navel jewellery is external!
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