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case_images: Erect chest radiograph on postoperative day 2 suggestive of small bowel ileus.
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case_images: By the second postoperative day, he developed an ileus with persistent vomiting (Fig. 1).
case_images: Erect chest radiograph on day 5 more consistent with small bowel obstruction.
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case_images: Abdominal X-ray revealed a small bowel obstruction and he was taken back to theatre for an emergency laparotomy (Figs 2 and 3).
case_images: Supine abdominal radiograph on day 5 showing dilated small bowel loops with no bowel gas evident in the colon.
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case_images: Abdominal X-ray revealed a small bowel obstruction and he was taken back to theatre for an emergency laparotomy (Figs 2 and 3).