Presentation
A 65-year-old man presented with abdominal pain and nausea/vomiting, two weeks after cholecystectomy.
Patient Data
Age: 65 years
Gender: Male
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Supine abdominal film shows dilated loops of small bowel with the "stack of coins" appearance, suggesting small bowel obstruction. On the erect abdominal film, multiple air-fluid levels are noted that suggest obstruction.
From the case:
Small bowel obstruction
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Multiple dilated loops of small bowel are noted. Colon is collapsed. The transitional zone is located at the distal ileum at which a soft tissue mass is located.
A hematoma is seen at the site of previous cholecystectomy. The presence of gas in the hematoma suggests superinfection.
Case Discussion
The patient underwent surgery. Unfortunately he did not survive.
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