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Case 134: Small bowel obstruction - No prior surgery and no hernias

This 80 yr old man presented with a distal small bowel obstruction. You rang your boss and told him that there were no scars, no hernias and the patient had some abdominal tenderness. He had a microcytic anaemia. Your boss said to book the patient for theatre without further investigation.

Image provided by Mr Boon Hong - General Surgeon - The Northern Hospital, Melbourne, Victoria, Australia

Image provided by Mr Boon Hong - General Surgeon - The Northern Hospital, Melbourne, Victoria, Australia

Image provided by Mr Boon Hong - General Surgeon - The Northern Hospital, Melbourne, Victoria, Australia

1. What reasons do you think he had to, over the phone, book the patient directly for theatre?

2. What was the diagnosis?

3. What are the options for treatment?