Endgames OnExamination quiz

Bowel obstruction

BMJ 2010; 340 doi: https://doi.org/10.1136/bmj.c261 (Published 21 January 2010) Cite this as: BMJ 2010;340:c261

The answers to this question, and more questions on this topic, are available from www.onexamination.com/endgames until midnight on Wednesday.

This week’s quiz is on bowel obstruction and is taken from the OnExamination revision questions for the MRCS part 1 exam.

A 72 year old female presents with vomiting, colicky abdominal pain, and an absence of flatus. She has never had surgery to her abdomen.

On examination her abdomen is distended, non-tender, and tympanic to percussion. Plain abdominal radiograph reveals distended loops of small bowel. No air is seen in the colon.

What is the most likely diagnosis?

  • A Caecal carcinoma

  • B Duodenal carcinoma

  • C Gastric carcinoma

  • D Pancreatic carcinoma

  • E Rectal carcinoma


Cite this as: BMJ 2010;340:c261

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