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Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
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How to differentiate mechanical obstruction from paralytic ileus?
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The correct answer is  Ans. (b) Absence of rectal shadowRef: Bailey and Love 26th edition, Page 1190* The important point to differentiate paralytic ileus and mechanical obstruction in X-ray is there will be absence of rectal gas shadow in mechanical obstruction.* Clinically bowel sounds will be absent in paralytic ileus with no pain.