RADIOLOGY: GASTROINTESTINAL: GI: Case# 32905: ILEAL VESICOSTOMY, SBO. This is a male with a history of paraplegia and neurogenic bladder who had an ileovesicostomy performed one month ago with the bladder neck surgically closed. He now has complaints of nausea, vomiting, diarrhea and abdominal pain. The ureters can be followed to the bladder which contains sludge and is somewhat distended and thick walled. The ileal segment attached to the dome of the bladder can be identified and this follows to an ostomy in the right lower quadrant. The GI tract shows good passage of contrast from the stomach into the small bowel. The small bowel is moderately dilated with multiple air fluid levels. However, there is no distinctive transition point. The colon also contains some fluid and air fluid levels although slightly less distended. No free air or abnormal gas or fluid collections are noted.