Medical history 58-year-old male was admitted at the emergency department without evacuating for 3 days, but with persistent elimination of flatus. He was complaining about nausea, vomiting, abdominal cramps and loss of appetite. At the physical examination there was hyperperistaltic bowel sounds, abdominal distension and diffuse pain on deep abdominal palpation. The patient was previously healthy, without any comorbidities. He denied previous surgical procedures into the abdominal cavity. The results of the laboratory tests showed an increase of the amylase and C-reactive protein. Image 1: Abdominal x-rays in anteroposterior incidence, in orthostatic (right) and dorsal decubitus (left)Image 2: CT scan of the abdomen on coronal sectionImage 3: CT scan of the abdomen on sagittal sectionImage 4: CT scan of abdomen axial section Question:Based on the clinical presentation, laboratory and imaging studies, we can affirm that the alternatives below are correct, except: The increase of amylase suggests pancreatitis The obstruction of the small bowel is partial The surgical management is indicated The superior mesenteric artery is pervious Time is Up! Time's up
