A previously healthy 23-year-old male patient with NO past surgical history presents with nausea, vomiting and abdominal pain. The abdomen is distended, slightly tender and tympanic on percussion. He has a right groin swelling. Abdominal X-ray shows dilated bowel in the center of the abdomen with multiple air-fluid levels. The most likely cause of this patient’s condition is:
سؤال مجاني 5 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: C. External hernia
This is small bowel obstruction (central dilated loops, multiple air-fluid levels) in a young man with a virgin abdomen and a groin swelling. With no previous surgery there are no adhesions, so an obstructed external (inguinal or femoral) hernia is the cause. The lecture says to look for hernias on examination and lists obstructed external hernia as an indication for early surgery.
- Tumor, Crohn's disease, trauma and foreign body do not explain the groin swelling.
- المصدر
- Bowel obstruction.pdf · p. 15
Bowel obstruction.pdf · p. 30 - المحاضرة
- Bowel obstruction · General Surgery · Module D
- ظهر في
- Surgery QB (Module D) p. 45 Q58