Gastroenterology MCQ 18

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Introduction to the Differential Diagnosis of the Separate Forms of Gallstone Disease: Based Upon His Own Experience Gained in 433 Laparotomies for GallstonesAn 82-year-old female nursing home resident is admitted with massive abdominal distension and constant abdominal pain with diffuse tenderness. Abdominal x-ray shows a massively distended loop of colon with a characteristic “bent inner tube” appearance. The management of this patient should include:

    1. Urgent laparotomy because of the massive colon distension

    2. An attempt at endoscopic decompression with a flexible sigmoidoscope

    3. Elective laparotomy and sigmoid resection should follow if endoscopic decompression is successful

    4. If at urgent laparotomy resected bowel is present, colon resection with primary anastomosis is in order
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Category: Gastroenterology MCQs

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