Small bowel obstruction

Case contributed by Derek Smith


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

Patient Data

Age: 80 years
Gender: Male

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 ischemic change throughout the small bowel.

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

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