Caso 396

Caso 396

Medical history

A 44-year-old man presents with a 15-day history of severe lower abdominal pain, nausea, vomiting, and obstipation associated with diarrhea. Loss of 15kg in the last months. No previous surgeries. Physical examination showed: pallor, distended abdomen, painful palpation of the lower abdomen, no masses or signals of peritonitis. Abdominal and chest radiographs and computed tomography of the abdomen and pelvis were requested.

Considering the clinical presentation, the initial hypothesis of partial intestinal obstruction, and the images presented, what is the most likely diagnosis?

Test question

[UFPR Residency Exam - General Surgery, 2009] Regarding large bowel obstruction, what is the INCORRECT answer?