Presentation
Severe right upper quadrant pain.
Patient Data
Age: 40 years
Gender: Male
From the case:
Closed loop obstruction
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A segment of U-shaped dilated small bowel loop (3.5 cm in short axis) with two ends of transitional zones, in the central lower abdomen. Whirls of mesenteric vessels, and radiating engorged mesenteric vessels towards the points of obstruction. The involved mesenteric fat is blurred. Few proximal bowel loops are also dilated. No gross signs of ischemia.
Few partially calcified stones within the gallbladder lumen. No gall bladder wall thickening. No pericholecystic fluid collection.
Case Discussion
Features of closed bowel obstruction. An additional finding of gall bladder stones without cholecystitis.
Additional contributor: Dr. Tahir Aien
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