Case history

Case history #1

A 27-year-old man presents with crampy abdominal pain of sudden onset, emesis, and failure to pass any gas or stool for 24 hours. The patient has no history of prior surgery. Physical exam reveals peritonitis. Abdominal computed tomography (CT) scan reveals the level of the obstruction.

Case history #2

A 43-year-old woman with a prior history of open cholecystectomy presents with gradual onset of nausea, vomiting, absolute constipation, and abdominal distention. Physical exam does not demonstrate peritonitis. Abdominal CT scan confirms the diagnosis of SBO.

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