71-year-old man presents with three days of abdominal distension and colicky abdominal pain. During his emergency department visit he developed bilious vomiting.
Key radiological features of small bowel obstruction are dilated bowel loops that are central, contain valvulae conniventes, and are pliable (“bent finger”).
It’s night shift & you’ve received handover of an entire department. You plug on and start chipping away at the waiting-list that doesn’t seem ever get any shorter....