31st July 2023

A 42-year-old man is brought to A&E with severe abdominal pain and multiple episodes of bilious vomiting

A 42-year-old man is brought to A&E with severe abdominal pain and multiple episodes of bilious vomiting, with an acute onset of a few hours. His current observations are BP 109/70 mmHg, RR 21/min, HR 90 bpm, T 37.8ᵒC, and SpO2 100% on air. Abdominal examination is remarkable for loud rushes of peristaltic activity. Palpation of the abdomen produces severe pain.

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