A 26 year old patient presented with the severe abdominal pain.Pain started in the morning as dull pain and then turns into sharp unbearable pain. patient gives h/o abdominal surgery long time ago but does not provide any other information. what are the interpretations.

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Sever abdominal pain it could be mperforation of pepttic ulcers duedenal Ulcer mysentric infarction , intestinal Obstructions, peritonitis.renal or gall stones.so history palpation and ultrasound plain x-ray of errect abdomen .

X ray looks normal except scoliotic spine...Rule out Acid peptic diseases...

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Its a case of intestinal obstruction.

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A small round opacity near about tip of the left ischial spine. Left UVJ calculus.

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SAIO with scoliosis spine

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Megacolon dd volvulus dd intussception

I agree with Dr H Nath

Intestinal obstruction.check for potassium levels immediately keep ryles tube for draining fluids and post for surgery

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Multiple gas shadows showing subacute intestinal obstruction ...with scoliosis

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Ileal obstruction?

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