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SUMMARY A case of alkaline encrusted cystitis is reported not only because of the rare tuberculous etiology but also because of the presence of multiple calculi impacted in the encrusted bladder mucosa.

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50 children who were referred for radiological surgery, which amounts to 100% diagnostic accuracy. The single best view is the prone transexamination with a clinical diagnosis of intestinal obstruction were reviewed. In addition to the lateral view of the abdomen. routine supine and upright abdomen films, prone translateral, prone postero-anterior views were also taken. The routine supine and erect films were often misleading. Using the available gas in the gastro-intestinal tract, the prone films confirmed or excluded intestinal obstruction. In the prone position the highest part of the large bowel is the rectum and any air present will tend to fill it. In obstruction, no air will be seen in the rectum. Diagnosis in all the cases was made entirely on prone films, especially cross table lateral films.When there was no obstruction, air pockets were visualised in the rectum. 23 children out of the 36 radiologically negative cases, who in the normal course would have been subjected to laprotomy, were saved from unwarranted laprotomy. In the other 13 negative cases, laprotomy was not contemplated. AU of the 14 radiologically positive cases of intestinal obstruction were confirmed at : 632 004. INDIA. FIGURE la.-Plain x-ray abdomen erect showing distended coils of small intestine in a child who presented with vomiting and distension of abdomen.