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A 60-year-old man with history of appendectomy presents with abdominal pain...

asked May 28, 2014 in General Surgery by Rajesh Bahara

A 60-year-old man with a previous history of appendectomy 30 years ago presents to the emergency room complaining of abdominal pain. He describes the pain as colicky and crampy and feels it builds up, then improves on its own. He has vomited at least 10 times since the pain started this morning. He states that he has not had a bowel movement for 2 days and cannot recall the last time he passed flatus. The abdomen is slightly distended. Abdominal auscultation reveals high-pitched bowel sounds and peristaltic rushes. Percussion reveals a tympanic abdomen. The patient is diffusely tender with palpation but has no rebound tenderness. Rectal examination reveals the absence of stool. Which of the following is the most likely diagnosis?

  1. Cholecystitis

  2. Diverticulitis

  3. Pancreatitis

  4. Gastroenteritis

  5. Intestinal obstruction 


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Intestinal obstruction
answered May 28, 2014 by Rajesh Bahara

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