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SurgSpace

06 / Colorectal Surgery · clerkship

Six weeks of constipation, then nothing at all

  1. ED
  2. Investigations
  3. Pre-Op
  4. OR
  5. Ward
  6. Debrief

Absolute constipation

Six weeks of increasing constipation with a change in stool calibre, and 5 kg of unintended weight loss. The abdomen is distended and tympanitic with high-pitched bowel sounds. The rectum is empty on examination.

An empty rectum with distal large bowel obstruction suggests:

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