Imaging recommendation · Abdomen · Pelvis

Abdominal distention with nausea and vomiting

Q: What's the alternative imaging for abdominal distention with nausea and vomiting when initial triage on the ward?

XR — Supine + upright KUB (no contrast).

Recommended: CT Abdomen/Pelvis with IV contrast is the preferred imaging study for abdominal distention with nausea and vomiting. First-line for evaluating distention with obstipation or vomiting.

Recommended study

CT Abdomen/Pelvis with IV contrast

CT IV contrast Preferred Abdomen · Pelvis EmergencyAcute inpatient Reviewed 2026-03

First-line for evaluating distention with obstipation or vomiting. Plain films have lower sensitivity. Water-soluble oral contrast (gastrografin) may have a therapeutic role in adhesive obstruction.

If the default doesn't apply

Initial triage on the ward

XR Supine + upright KUB No contrast