A young female with Acute Abdomen

A female aged 19 years Chief Complaints Acute onset Pain Abdomen (Diffuse) persistent pain (x 4 hrs) History H/o Open Appendicectomy 10 years back Physical Examination Distended Abdomen Tenderness throughout BS(-)

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It seems to be case of small intestine obstruction which is more common mechnical obstruction than the large intestine obstruction, more commonly may be due post operative band obstruction which constitute about 80% small intestine obstruction seen in xray abdomen with dilated all intestine but cannot be seen in CT.

Thanks Dr Ajit Jangbahadur.
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Volvulus Opinion of surgeon Exploratory laprotomy

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Acute intestinal obstruction at ic junction Adhesions due to old surgery Laprotomy is advisable

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Ac. Peritonitis

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AC intestinal obstruction

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Acute intestinal obstruction.? adhesions is the cause

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This is case of SAIO please go for serum amylase with CECT of abdomen

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