? Acute intestinal obstruction

A male aged 43 years Chief Complaints Acute onset pain abdomen (peri-umbilical) Colicky Moderate intensity since 1 day Physical Examination P/A - Distended, BS (increased) Tenderness (+) Investigations Xray abdomen

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Air fluid levels large multiple intes obstruction

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Multiple air fluid levels Acute intestinal obstruction Probably needs exploration

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Multiple air fluid levels Suggestive of Small Bowel obstruction Do evaluate clinically Might be helpful👍

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