patient presents with abdominal distention with pain abdomen and also pain in left lower limb..dx plz

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Multiple fluid levels Dialated bowels Intestinal obstruction due to a lesion seen in pelvic region which looks to be malignant and refered pain in lt lower limb Adv ct abdomen What are findings on PR
Thanx dr Ashok Leel
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Intestinal obstruction
Tnx sir
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Massive colonic gaseous distension and dilatation Can be due to chronic constipation, Ogilvie,s syndrome- pseudo colonic obstruction
Intestinal obstruction. Multiple fluid levels. Gaseous distension and dilatation.
Thanks Dr Pushkar Bhomia
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SUGGESTIVE. OF VOLVULUS. . SIGMOID COLON. ADVISABLE. . USG
Volvulus needs exploratory laparotomy
Tell me the age parameters of the pt
21 yrs old male
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Valvulus sigmoid colon
Large bowel obstruction. Do PR examintion . USG w/a . Check electrolye( Na K Ca) and RBS and KFT, amylase and lipase Maintain IVF . Put Ryle tube . Start antibiotcs( cephalosporin group plus Metronidazole)
Multiple fluid levels Intestinal obstruction Gaseous distention n dilatation
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