© 2002 The Fellowship of Postgraduate Medicine
SELF ASSESSMENT QUESTION
Bowel obstruction
An interesting case of small bowel obstruction
Milton Keynes General Hospital, Standing Way, Milton Keynes, Bucks MK6 5LL, UK
Correspondence to:
Correspondence to:
Mr Pranesh;
npranesh@hotmail.com
Accepted 22 July 2002
Answers on p 630.
Keywords: bowel obstruction; enterolith; diverticulosis; groin pain; Crohn’s disease; ileal stricture; schwannoma; neurilemmoma; intercostal; magnetic resonance imaging
| The first 150 words of the full text of this article appear below. |
An 86 year old women presented with a day’s history of sudden onset colicky central abdominal pain associated with several episodes of vomiting, some abdominal distension, and an episode of loose stools. She also gave a week’s history of dysuria and increased frequency of micturition. Her bowels were previously regular and normal with no history of rectal bleeding. There was no history of anorexia or weight loss. Past history included a right mastectomy and axillary clearance for carcinoma of the breast 11 years previously and a hysterectomy at the age of 29 for postpartum haemorrhage.
On examination her pulse was 88 beats/min, blood pressure 137/58 mm Hg, and temperature 37.7°C. She was clinically dehydrated and abdominal examination revealed mild distension and lower abdominal tenderness without guarding or rebound tenderness. Bowel sounds were increased and tinkling. The hernial orifices were normal as was digital rectal examination. Examination of the
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An interesting case of small bowel obstruction
Postgrad. Med. J. 2002 78: 630.[Extract] [Full Text] [PDF]
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