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Abdomen (oblique view)

Dr Ayla Al Kabbani and Andrew Murphy ◉ et al.

AP oblique supine radiograph is normally performed when localizing foreign bodies or lines within the abdominal cavity. Additionally, the oblique abdominal series can be utilized in the assessment of the upper intestinal tract during barium studies.

On this page:

Article:

Patient position
Technical factors
Image technical evaluation
Practical points
Related articles
References

Images:

Cases and figures

Patient position

the patient is laying 30 degrees either LAO or RAO, often on a 30-degree wedge to ease of positioning
patients should be changed into a hospital gown, with radiopaque items (e.g. belts, zippers) removed
the x-ray is taken in full inspiration

Technical factors

AP oblique projection
centring point
- the midsagittal place (equidistant from each ASIS) at the level of the iliac crest
collimation
- laterally to the lateral abdominal wall
- superior to the diaphragm
- inferior to the inferior pubic rami
orientation
- portrait
detector size
- 35 cm x 43 cm
exposure
- 70-80 kVp
- 30-120 mAs; AEC should be used if available
SID
- 100 cm
grid
- yes

Image technical evaluation

lateral abdominal wall should be included
inferior pubic rami should be included inferiorly
if possible, the diaphragm should be included superiorly
adequate rotation can be confirmed via the presence of the 'Scotty dog' sign of the lumbar spine
no blurring of the bowel gas due to respiratory motion

Practical points

For larger patients, it may be necessary to perform two x-rays using a landscape orientation of the detector to include the entire abdomen.

Exposure will need to be adjusted according to the imaging system (CR or DR) and patient size. Where possible mAs should be manipulated to ensure adequate image density and appropriate image contrast.

References

Radiographic views

pediatric radiography
radiographic positioning and terminology
systematic radiographic technical evaluation
chest radiography
pediatric chest radiography
abdominal radiography
pediatric abdominal radiography
- neonate supine view
upper limb radiography
lower limb radiography
- pelvic girdle radiography
- thigh and leg radiography
- ankle and foot radiography
skull radiography
paranasal sinus and facial bone radiography
- facial bones
  - lateral
  - Waters view
- Caldwell view (angled skull PA view)
- nasal bones
- zygomatic arches
- orbits
  - parieto-orbital view
  - Waters view
- paranasal sinuses
- temporal bones
  - axiolateral oblique view
  - AP axial view
  - Stenvers view
  - modified Stenvers view
  - temporal bones submentovertex (SMV) view
dental radiography
- orthopantomography (OPG)
- mandible
- temporomandibular joints
spine radiography

Article information

rID: 53644

System: Gastrointestinal, Urogenital

Section: Radiography

Tag: cases, refs

Synonyms or Alternate Spellings:

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Cases and figures

Figure 1: oblique abdomen for a double contrast barium enemaFigure 1: oblique abdomen for a double contrast barium enema

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