An Unusual Case of Small Bowel Obstruction in an Elderly Woman

Question: An 81-year-old woman with a past medical history of dementia, previous stroke, and total abdominal hysterectomy was admitted for a 4-day history of nausea and nonbilious vomiting. She was well and stable hemodynamically. Physical examination revealed a nontender and mildly distended abdomen with normal bowel sounds. There was no hernia and the digital rectal examination was normal. Initial laboratory investigations were unremarkable.

Source: Gastroenterology - April 29, 2016 Category: Gastroenterology Authors: Hwee Leong Tan, Benita K.T. Tan, Ser Yee Lee Tags: Electronic Clinical Challenges and Images in GI Source Type: research