Small bowel obstruction
Epigastric pain, vomiting, melaena. Multiple vascular risk factors.
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Multiple distended small bowel loops (positioned centrally, valvulae conniventes present).
Left hip arthroplasty noted.
2 case question available
This patient progressed to have a CT which showed extensive ischemic change throughout the small bowel.
The case was managed conservatively due the patient's co-morbidities.