Statistics from Altmetric.com
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.
Answers on p 435.
An 87 year old woman presented with a two month history of abdominal distension and vomiting. Previous investigations for iron deficiency anaemia had been normal. There was no recent change in bowel habit. On examination she was afebrile. The abdomen was soft, distended, with no tenderness or guarding and the bowel sounds were normal. A detail from the plain abdominal radiograph is shown (fig 1), together with a representative film from a subsequent investigation (fig 2).
What does the plain abdominal radiograph (fig 1) show? What was the subsequent investigation (fig 2) and what does this show?
How would you manage this patient?
What mechanism results in the development of the radiological abnormality shown in fig 1?