Interest in point-of-care (POC) ultrasonography (US) for the evaluation of suspected SBO has increased in recent years. A growing body of literature suggests US is more sensitive and specific compared to AXR in the diagnosis of SBO (1-3). US also confers the benefits of less radiation exposure and more rapid decision-making. CT is generally considered the diagnostic criterion standard for SBO, but effective use of POC US may reduce the need for CT imaging and expedite the care of patients with suspected SBO.