Patient HBV related HCC , now c/o abdominal pain with distension....X ray done Diagnosis and need for further investigation..?

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Acute intestinal obstruction

Caecum volvulus

Acute intestinal obstruction

Acute ins.obstruction

Acute intestinal obstruction probably volvulus of large gut .. caecum?

Acute intestinal obstruction

Acute intestinal obstruction

Intestinal obstruction

Find out secondaries, X- Ray shows large bowel obstructive changes with peritonitis, advised USG abdomen and MRI brain.

Acute intestinal obstruction with ?air under both domes. ? Perforation

Yes sir...it was Obstruction with perf...
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