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A 68-year-old man with a history of asthma and chronic obstructive pulmonary disease was admitted to our hospital with a 1-day history of dyspnea, fever, and epigastric and chest pain. Shortly after admission, the patient's hypoxemia became progressively worse and abdominal tenderness developed; he was admitted to the intensive care unit (ICU). Urgent computed tomography of the abdomen and pelvis showed a distended segment of the small bowel, with a mass causing obstruction. On emergency laparotomy, an obstruction due to a food bolus 7 cm in length was found and removed. Multiorgan failure and the acute respiratory distress syndrome developed . . . [Full Text of this Article] |