Answer of July 2021

 

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Clinical History:


A 74 year-old male was admitted for abdominal distension, pain and no bowel opening for 2 weeks. There is no nausea or vomiting. Abdominal examination revealed no localizing peritoneal sign, but hyperactive bowel sounds. Abdominal radiograph and urgent computed tomography (CT) of abdomen & pelvis with contrast were arranged.