Presentation
Presented with anorexia, vomiting, and emaciation for one week.
Patient Data
The stomach is markedly distended with fluid and a small amount of gas. There is at least one segment of small bowel which is also severely distended with fluid and contains a single large bubble of gas. Multiple small bowel loops are identified which are empty. A small amount of soft appearing feces is present in the colon.
Impression:
Mechanical small intestinal obstruction.
Case Discussion
The marked enlargement of the small intestine and stomach indicate a chronic small intestinal obstruction. It takes time for the gastrointestinal tract to distend to this degree.
A laparotomy and enterotomy was performed, and a rubber foreign body was removed from the mid-jejunum.
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