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    Abdominal x-ray

    Abdominal film; X-ray - abdomen; Flat plate; KUB x-ray

    An abdominal x-ray is an imaging test to look at organs and structures in the belly area. Organs include the spleen, stomach, and intestines.

    When the test is done to look at the bladder and kidney structures, it iscalled a KUB (kidneys, ureters, bladder) x-ray.

    How the Test is Performed

    The test isdone in a hospital radiology department. Or it may donein the health care provider's office by an x-ray technologist.

    You lie on your back on the x-ray table. The x-ray machine is positioned over your abdominal area. You hold your breath as the picture is taken so that the picture will not be blurry. You may be asked to change position to the side or to stand up for additional pictures.

    How to Prepare for the Test

    Before having the x-ray,tell the health care provider the following:

    • If you are pregnant or think you could be pregnant
    • Have an IUD inserted
    • Have had a barium contrast media x-ray in the last 4 days
    • If you have taken any medicines such as Pepto Bismol in the last4 days (this type of medicinecan interfere with the x-ray)

    You wear a hospital gown during the x-ray procedure. You must remove all jewelry. You must sign an informed consent form.

    How the Test Will Feel

    There is no discomfort. Thex-rays are takenas you lie on your back, side, and while standing.

    Why the Test is Performed

    • Diagnose a pain in the abdomen or unexplained nausea
    • Identify suspected problems in the urinary system, such as a kidney stone
    • Identifyblockage in the intestine
    • Locate an object that has been swallowed

    Normal Results

    The x-ray will show normal structures for a person your age.

    What Abnormal Results Mean

    Abnormal findings include:

    • Abdominal masses
    • Buildup of fluid in the abdomen
    • Certain types of gallstones
    • Foreign object in the intestines
    • Hole in the stomach or intestines
    • Injury to the abdominal tissue
    • Intestinal blockage
    • Kidney stones

    The test may be performed for:

    • Abdominal aortic aneurysm
    • Acute appendicitis
    • Acute cholecystitis
    • Acute kidney failure
    • Addison disease
    • Adenomyosis
    • Annular pancreas
    • Ascariasis
    • Atheroembolic renal disease
    • Biliary atresia
    • Blind loop syndrome
    • Cholangitis
    • Chronic renal failure
    • Cirrhosis
    • Echinococcus
    • Encopresis
    • Hirschsprung disease
    • Idiopathic aplastic anemia
    • Injury of the kidney and ureter
    • Intussusception (children)
    • Necrotizing enterocolitis
    • Nephrocalcinosis
    • Peritonitis, spontaneous
    • Primary or idiopathic intestinal pseudo-obstruction
    • Renal artery stenosis
    • Renal cell carcinoma
    • Secondary aplastic anemia
    • Toxic megacolon
    • Wilms tumor

    Risks

    There is low radiation exposure. X-rays are monitored and regulated to provide the minimum amount of radiation exposure needed to produce the image. Most experts feel that the risk is low compared with the benefits.

    Pregnant women and children are more sensitive to the risks of the x-ray. Women should tell the health care providerif they are, or may be,pregnant.

    Considerations

    The test is not usually recommended for pregnant women. The ovaries and uterus cannot be shielded during the abdominal x-ray because of their location.

    Men should have a lead shield placed over the testes to protect against the radiation.

    References

    Morrison I. The plain abdominal radiograph and associated anatomy and techniques. In: Adam A, Dixon AK, eds. Grainger & Allison's Diagnostic Radiology: A Textbook of Medical Imaging. 5th ed. New York, NY: ElsevierChurchill-Livingstone; 2008:chap 29.

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      A Closer Look

        Self Care

          Tests for Abdominal x-ray

          Review Date: 1/22/2013

          Reviewed By: Linda J. Vorvick, MD, Medical Director and Director of Didactic Curriculum, MEDEX Northwest Division of Physician Assistant Studies, Department of Family Medicine, UW Medicine, School of Medicine, University of Washington. Also reviewed by A.D.A.M. Health Solutions, Ebix, Inc., Editorial Team: David Zieve, MD, MHA, David R. Eltz, Stephanie Slon, and Nissi Wang.

          The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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