A 37-year-old man comes to the physician 12 hours after the onset of vomiting and abdominal cramps and swelling. He has had constipation for the past 4 days. He was diagnosed with Crohn disease 7 years ago. His symptoms of diarrhea and right lower quadrant abdominal pain have been well controlled with mesalamine for the past 3 years. His temperature is 36°C (96.8°F), pulse is 98/min and regular, and blood pressure is 110/70 mm Hg. Examination shows a diffusely distended, tympanitic abdomen and visible peristalsis; high-pitched bowel sounds are heard. Rectal examination shows no stool in the rectal vault. An x-ray of the abdomen shows a small-bowel obstruction. Which of the following is the most likely cause of these findings?
A
) Colon cancer
B
) Ileocecal fistula
C
) Small-bowel adhesions
D
) Small-bowel fibrotic stricture
E
) Small-bowel intussusception
What is the diagnosi? Does the patient get small bowel obstruction?
I choose C. I had thought that crohn disease can cause full thickness inflammation which can cause adhesion. But I am wrong. Thank you!
A
) Colon cancer
B
) Ileocecal fistula
C
) Small-bowel adhesions
D
) Small-bowel fibrotic stricture
E
) Small-bowel intussusception
What is the diagnosi? Does the patient get small bowel obstruction?
I choose C. I had thought that crohn disease can cause full thickness inflammation which can cause adhesion. But I am wrong. Thank you!
