The gasless mid-abdomen on this radiograph (A) may represent a pseudo-tumor sign (fluid-filled loops of dilated bowel), although this finding would be impossible to identify without knowing the CT results. Gas in the colon is often seen in closed-loop obstruction because the onset of obstruction is rapid and gut motility is diminished due to the severity of pain. Source: Chapter II-1. Small Bowel Obstruction, Emergency Radiology: Case Studies Citation: Schwartz DT. Emergency Radiology: Case Studies; 2008 Available at: http://accessemergencymedicine.mhmedical.com/DownloadImage.aspx?image=/data/books/schw1/schw1_c017f018b.jpg&sec=41826742&BookID=434&ChapterSecID=41825427&imagename= Accessed: October 26, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved