A 38-year-old woman presented to accident and emergency department with short history of abdominal pain and distention, severe constipation, vomiting, dehydration and respiratory distress. On examination, she was having abdominal rigidity and no bowel sounds were audible. What is the most likely diagnosis based on this clinical scenario?
  1. Bowel or intestinal obstruction
  2. Appendicitis
  3. Peritonitis
  4. Pancreatitis
Answer- A - The most likely diagnosis is bowel or intestinal obstruction because severe constipation, vomiting and resulting dehydration are features of this. Moreover, absent bowel sounds also indicate intestinal obstruction. The condition will be confirmed by doing abdominal x-rays.
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