A 72-year-old man presented with symptoms of abdominal distension after six days of hemiarthroplasty of his right hip. For four days, he was unable to open bowels or pass flatus. Medical history: The patient had a transitional cell carcinoma of the bladder and received treatment for the same. He also had a hiatus hernia and underwent an appendicectomy. Social history: The patient quit smoking six months before the presentation.
Physical examination: Physical examination revealed a BP of 114/88 mmHg and a pulse rate of 98/min. The abdomen was found to be distended with mild tenderness. Radiology examination: X-ray of the abdomen revealed an empty rectum and absent hernia. What would be the most likely diagnosis in this case? Pseudo-obstruction Intestinal perforation Intestinal diverticulum Source : 100 Cases in Surgery ##Disclaimer## The content provided on Docplexus is intended for…
