c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Intestinal Obstruction with Bowel Resection: 1

A D V E R T I S E M E N T

   
 

A 78-year-old woman presented with nausea, vomiting, crampy abdominal pain and distention. She had had a sigmoid carcinoma (T3, N1, M0) six years previously and a left hepatic resection for metastasis 18 months previously.       

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Intestinal Obstruction with Bowel Resection: 2

A D V E R T I S E M E N T

   
 

The upright abdominal X-ray showed multiple air-fluid levels with a paucity of gas in the lower abdomen.       

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Intestinal Obstruction with Bowel Resection: 3

A D V E R T I S E M E N T

   
 

Because the patient had localized lower abdominal tenderness she underwent immediate laparotomy. A closed loop obstruction with compromised bowel was found distal to dilated small bowel. There was no evidence of recurrent carcinoma.       

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This page was last modified on 7/7/2000.