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An 83-year-old woman was hospitalized with nausea, vomiting, and obstipation. She had been losing weight for six months and had had similar, though less severe, symptoms during that time. She had no history of abdominal surgery and no other medical problems. The physical examination revealed a distended abdomen, with no palpable masses and no hernias. To distinguish an ileus from a mechanical small-bowel obstruction, enhanced computed tomography of the abdomen and pelvis was performed. Numerous distended loops of small intestine (Panel A, arrows), air in the biliary tree (Panel B, arrow), and a calcified intraluminal mass (Panel C, arrow) were . . . [Full Text of this Article] |
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