Intestinal obstruction can be caused by adhesions due to prior surgery or inflammation. Adhesions can be fibrinous and easy to remove early on, or fibrous and difficult to remove later. Treatment involves monitoring vitals, nasogastric decompression, IV fluids, and surgery if conservative measures fail or strangulation is suspected. During surgery, adhesions are lysed carefully to avoid further injury. Gallstone ileus occurs when a gallstone erodes through the gallbladder and becomes lodged in the small intestine, causing obstruction. It typically affects elderly women and causes colicky pain, vomiting, and distension. Diagnosis is suggested by plain films showing pneumobilia and confirmed by CT

13. Gall Stone ileus

30. INTUSSUSCEPTUM INTUSSUSCIPIENS NECK APEX LEAD POINT

43. CT SCAN –YIN YANG SIGN