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DDx

Discussion in 'Spot Diagnosis' started by J.P.C. Peper, Jun 20, 2012.

  1. J.P.C. Peper

    J.P.C. Peper Bronze Member

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    What's your diagnosis?

    I'll post the correct answer in about three days!

    DDx.jpg
     

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  2. bb100

    bb100 Bronze Member

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    bowel obsruction due to inguinal hernie .
     


  3. J.P.C. Peper

    J.P.C. Peper Bronze Member

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    Correct answer:

    Bowel perforation.

    The presence of air in the abdominal wall is most commonly a result of a bowel perforation. It can be caused by e.g. necrotisizing enterocolitis or erosion due to a duodenal ulcer. Another finding could be the 'wooden belly symptom'; the abdomen then feels quite rigid.
     


  4. bb100

    bb100 Bronze Member

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  5. J.P.C. Peper

    J.P.C. Peper Bronze Member

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    Yes, I believe air in the intestinal wall often indicates a perforation as well; at least in a necrotic bowel (with high risk of perforation) there are air bubbles in the intestinal wall.

    As I understand it, air in the abdominal cavity or abdominal wall is also often due to a perforation.
     


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