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Abdominal film

Definition

Abdominal films are x-ray images of the abdomen.

Alternative Names

Abdominal x-ray; X-ray - abdomen; Flat plate; KUB

How the test is performed

The test is performed in a hospital radiology department or in the health care provider's office by an x-ray technologist. You lie on your back on the x-ray table. The x-ray machine is positioned over your abdominal area. You hold your breath as the picture is taken so that the picture will not be blurry. You may be asked to change position to the side or to stand up for additional pictures.

How to prepare for the test

Inform the health care provider if you are pregnant, have an IUD inserted, or have had a barium contrast media x-ray in the last 4 days.

If you have taken any medications such as Pepto Bismol (which contains bismuth) within 4 days mention it to the health care provider, because they may interfere with the test.

You wear a hospital gown during the x-ray procedure. You must remove all jewelry. You must sign an informed consent form.

How the test will feel

There is no discomfort. The films are taken with you lying on your back, side, and while standing.

Why the test is performed

The abdominal x-ray can help identify suspected problems in the urinary system such as a kidney stone or a blockage in the intestine. The x-ray can locate an object that has been swallowed. The x-ray may also help in diagnosing a pain in the abdomen or unexplained nausea.

Normal Values

The x-ray will show normal structures for a person your age.

What abnormal results mean

Abnormal findings include:

  • Abdominal masses
  • Build up of fluid in the abdomen
  • Kidney stones
  • Certain types of gallstones
  • Intestinal blockage
  • Foreign object in the intestines (an intestinal obstruction)
  • Injury to the abdominal tissue
  • Hole in the stomach or intestines

Additional conditions under which the test may be performed:

  • Abdominal aortic aneurysm
  • Acute appendicitis
  • Acute cholecystitis
  • Acute kidney failure
  • Addison's disease
  • Adenomyosis
  • Annular pancreas
  • Ascariasis
  • Atheroembolic renal disease
  • Biliary atresia
  • Blind loop syndrome
  • Cholangitis
  • Chronic renal failure
  • Cirrhosis
  • Echinococcus
  • Encopresis
  • Hirschsprung's disease
  • Idiopathic aplastic anemia
  • Injury of the kidney and ureter
  • Intussusception (children)
  • Necrotizing enterocolitis
  • Nephrocalcinosis
  • Peritonitis; dialysis associated
  • Peritonitis, spontaneous
  • Primary or idiopathic intestinal pseudo-obstruction
  • Renal artery stenosis
  • Renal cell carcinoma
  • Secondary aplastic anemia
  • Toxic megacolon
  • Wilms' tumor

What the risks are

There is low radiation exposure. X-rays are monitored and regulated to provide the minimum amount of radiation exposure needed to produce the image. Most experts feel that the risk is low compared with the benefits.

Pregnant women and children are more sensitive to the risks of the x-ray. Women should tell the health care provider if they are, or may be, pregnant.

Special considerations

The test is not usually recommended for pregnant women. The ovaries and uterus cannot be shielded during the abdominal x-ray because of their location.

Men should have a lead shield placed over the testes to protect against the radiation.

Images

References

Reviewed by: Nikheel S. Kolatkar, MD, Clinical and Research Fellow, Division of Endocrinology, Diabetes, and Hypertension, Brigham and Women's Hospital, Harvard Medical School, Boston, MA. Review provided by VeriMed Healthcare Network.
Review date: 2005-05-17

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Related Topics
Abdominal aortic aneurysm
Acute cholecystitis (Gallstones)
Addison’s disease
Annular pancreas
Ascariasis
Biliary atresia
Cholangitis
Cirrhosis
Encopresis
Hirschsprung’s disease
Injury - kidney and ureter
Intussusception (children)
Nausea and vomiting
Nephrocalcinosis
Peritonitis - spontaneous
Renal artery stenosis
Secondary aplastic anemia
Toxic megacolon
X-ray
Abdominal pain
Acute kidney failure
Adenomyosis
Appendicitis
Atheroembolic renal disease
Blind loop syndrome
Chronic renal failure
Echinococcus
Gallstones
Idiopathic aplastic anemia
Intestinal obstruction
Kidney stones
Necrotizing enterocolitis
Peritonitis - dialysis associated
Primary intestinal pseudo-obstruction
Renal cell carcinoma
Testes
Wilms tumor