A male with ? SAIO

A male aged 38 years Chief Complaints Pain Abdomen (Colicky) Non passage of Flatus n Faeces (x2 days) Physical Examination P/A - Distended, BS(-)

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Yes distended bowels with fluid levels suggestive of intestinal obstruction As h/o constipation and not passing faeces and flatus not viewed in kub but there is ballooning of rectum it appears obstruction down the track likely RECTOCELE

Edited Rx maintain electrolyte balance on iv fluids Pass glycerine enema or nomotonic enema Let obstruction to be relieved Adv colonoscopy or BA ct colon
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Intestinal obstruction

Thank you doctor
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