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Case 80: RIF pain and vomiting

A 63 year old man is admitted with 12 hours of abdominal pain. It began centrally with crampy pain and he now has constant right iliac fossa pain. He is unwell with vomiting, tachycardia and his abdomen is distended and guarded. A plain xray is shown below.

1. What is the likely diagnosis?

2. What complication would you suspect has occured?

3. How would you manage this man?