• Plain film abdomen finding
• On abdominal radiographs, the fatty panniculus, if present, has two configurations
• Smooth, uniformly convex bow which is the normal appearance (yellow arrows below)
• Or, a bow with a central indentation (broken bow) (blue arrows below)
• Latter is a useful radiographic sign of previous lower abdominal surgery
• Central indentation is created by tissue tethering around the laparotomy scar

 

See above description