A woman with a previous laparotomy has colicky abdominal pain, vomiting, distension and absolute constipation. What is the most likely diagnosis?
Answer and explanation
Correct answer: A. Small bowel obstruction
- Step 1: The picture of colic, vomiting and absolute constipation after earlier surgery fits Small bowel obstruction.
Answer
Small bowel obstruction.
Why not the others: 'Acute gastroenteritis': gastroenteritis gives diarrhoea, not absolute constipation. 'Acute appendicitis': appendicitis has migratory right iliac fossa pain and fever. 'Perforated peptic ulcer': perforation gives a sudden rigid abdomen with free air.
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