Presentation
Obstipation, abdominal distension, and vomiting Peritonitic abdomen? Bowel obstruction + perforation?
Patient Data
Age: 70 years
Gender: Male
From the case:
Pneumoperitoneum
Frontal
A small focus of air is noted under the right dome of the diaphragm.
Right central line and NG tube in situ.
From the case:
Pneumoperitoneum
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Coronal non-contrast
Multilevel segmental inflammatory strictures of small bowel loops are noted with upstream obstructive dilatation and perforation.
Apart from this, there is a small right adrenal incidentaloma, uncomplicated sigmoid diverticulosis, and a slight left inguinal hernia.
Case Discussion
The patient has managed acutely in the theater with resection of the pathological segment of the bowel, peritoneal lavage, and anastomosis. The patient improved post-intervention.
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