A 67-year-old man arrives as ESI 2 with abdominal pain, vomiting, distention, and obstipation. BP 112/70, HR 110. CT shows dilated small bowel loops,

Question

A 67-year-old man arrives as ESI 2 with abdominal pain, vomiting, distention, and obstipation. BP 112/70, HR 110. CT shows dilated small bowel loops, a transition point, mesenteric edema, and reduced bowel wall enhancement. Which of the following is the most appropriate next step in management?

Accepted Answer

Obtain emergent surgical consultation

Answer

Give oral contrast and repeat CT in 48 hours

Answer

Perform colonoscopy

Answer

Treat with loperamide

Answer

Discharge with laxatives

Strangulated small bowel obstruction — ABEM Board MCQ

A 67-year-old man arrives as ESI 2 with abdominal pain, vomiting, distention, and obstipation. BP 112/70, HR 110. CT shows dilated small bowel loops, a transition point, mesenteric edema, and reduced bowel wall enhancement. Which of the following is the most appropriate next step in management?