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 probably volvulus of large gut .. caecum?

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

Acute intestinal obstruction

Acute dilatation of the stomach Rx - aspiration by nasogadtric tube Normal saline Avoid hypopotassiumia

INTESTINAL OBSTRUCTION&PERFORATION..

Acute intestinal obstruction

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

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

Acute intestinal obstruction

Acute intestinal obstruction

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