Small bowel obstruction

Case contributed by Dr Derek Smith

Presentation

Epigastric pain, vomiting, melaena. Multiple vascular risk factors.

Patient Data

Age: 80
Gender: Male
X-ray

Multiple distended small bowel loops (positioned centrally, valvulae conniventes present).

Left hip arthroplasty noted.

Case Discussion

This patient progressed to have a CT which showed extensive ischaemic change throughout the small bowel.

The case was managed conservatively due the patient's co-morbidities.

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Case information

rID: 34061
Case created: 3rd Feb 2015
Last edited: 4th Oct 2015
Inclusion in quiz mode: Included

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