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Just the Facts: Diagnosis and management of small bowel obstruction

  • Brit Long (a1), Elisha Targonsky (a2) and Alex Koyfman (a3)

Extract

A 63-year-old female patient presents with abdominal pain, vomiting, and abdominal distention. She has previously had a cholecystectomy and hysterectomy. She has had no prior similar episodes, and denies fever, hematemesis, or diarrhea. She takes no medications. Vital signs include blood pressure 123/61 mm Hg, heart rate 97, oral temperature 37.2°C, respiratory rate 18, oxygen saturation 97% on room air. Her abdomen is diffusely tender and distended.

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Corresponding author

Correspondence to: Dr. Brit Long, Brooke Army Medical Center, Department of Emergency Medicine, 3841 Roger Brooke Drive, Fort Sam Houston, TX, 78234; Email: brit.long@yahoo.com

References

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1.Taylor, MR, Lalani, N. Adult small bowel obstruction. Acad Emerg Med 2013;20(6):528–44.
2.Long, B, Koyfman, A, Gottlieb, M. Emergency medicine evaluation and management of small bowel obstruction: evidence-based recommendations. J Emerg Med 2019;56(2):166–76.
3.Maung, AA, Johnson, DC, Piper, GL, et al. Evaluation and management of small-bowel obstruction: an Eastern Association for the Surgery of Trauma practice management guideline. J Trauma Acute Care Surg 2012;73(5 Suppl 4):S362–9.
4.American College of Radiology. ACR appropriateness criteria suspected small bowel obstruction; 2019. Available at: https://acsearch.acr.org/docs/69476/Narrative (accessed January 22, 2020).
5.Fonseca, AL, Schuster, KM, Maung, AA, Kaplan, LJ, Davis, KA. Routine nasogastric decompression in small bowel obstruction: is it really necessary? Am Surg 2013;79(4):422–8.

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Long et al. supplementary material

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Just the Facts: Diagnosis and management of small bowel obstruction

  • Brit Long (a1), Elisha Targonsky (a2) and Alex Koyfman (a3)

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