mechanical small-bowel obstruction nejm
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Obstruccion intestinal mecanica, revista new englandTRANSCRIPT
images in clinical medicine
T h e n e w e ngl a nd j o u r na l o f m e dic i n e
n engl j med 371;9 nejm.org august 28, 2014e12
A 57-year-old woman was admitted to the emergency department with sudden-onset upper abdominal pain and vomiting. The patient’s medi-cal history was notable for type 1 diabetes and laparoscopic tubal steriliza-
tion. Computed tomography (CT) revealed small-bowel volvulus with dilated small bowel rotated around its blood supply (Panels A and B). There were no signs of free air or fluid and no indication of bowel ischemia on the CT scan. Explorative lapa-rotomy revealed signs of strangulation of the small bowel 1 m from the ligament of Treitz. The bowel was viable, and no resection was performed. The patient was discharged in good condition 3 days later.DOI: 10.1056/NEJMicm1312048Copyright © 2014 Massachusetts Medical Society.
Lindsey R. Baden, M.D., Editor
Mechanical Small-Bowel Obstruction
Jacob Antonsen, M.D.
Herlev University HospitalHerlev, [email protected]
Jorgen Tilma, M.D.
Aarhus University HospitalAarhus, Denmark
A B
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