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Suspected small bowel obstruction — PARA MCQ

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ModerateSurgery - GastrointestinalSuspected small bowel obstructionPARA

A 71-year-old man has colicky abdominal pain, vomiting and distension. He has previous abdominal surgery and high-pitched bowel sounds. What is the most appropriate investigation?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: C — CT abdomen and pelvis with contrast if renal function permits

Suspected bowel obstruction is assessed with urgent imaging, usually CT abdomen and pelvis, to identify level, cause and complications such as ischaemia.

Reference: NICE CKS: Bowel obstruction; Association of Surgeons guidance