Large bowel obstruction
Distended abdomen. Absolute constipation for 24 hours. Obstruction?
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The large bowel is gas filled and distended down to the level of the distal descending colon-sigmoid.
Small bowel collapsed.
No free gas.
The appearances are those of a distal large bowel obstruction.
CT is typically the next line of investigation to confirm obstruction and identify the cause.
A distal large bowel obstruction due to tumour was confirmed at laparotomy.