Small bowel obstruction (SBO) is a common reason for hospitalization, accounting for approximately 20 % of all surgical admissions due to acute abdominal pain [1]. Diagnosis of SBO frequently relies on radiological assessment, focusing on key imaging features such as small bowel dilatation and air-fluid levels [2]. Plain abdominal radiography often represents the initial step in imaging work-up of SBO due to its accessibility and cost-efficiency. However, its diagnostic utility is constrained by…