A 78-year-old man with history of chronic constipation is brought to the A&E with a sudden onset of abdominal pain and distension. Examination reveals a distended tympanic abdomen with a 'mass' arising from the pelvis. What is the diagnosis for this patient?
Sigmoid volvulus
Caecal volvulus
Colonic pseudo-obstruction
Paralytic ileus
Strangulated femoral hernia
A 9-month-old baby boy has been admitted to the paediatric unit with intermittent colicky abdominal with blood-stained stools and mucus in his nappy. On examination he looks unwell. Abdominal examination shows an empty right iliac fossa with a lump in the epigastrium. What is the diagnosis for this patient?
Acute ileocolic intussusception
Caecal volvulus
Colonic pseudo-obstruction
Paralytic ileus
Sigmoid volvulus
A 68-year-old man has been admitted as an emergency with colicky abdominal pain with constipation for 3 days. In between the colics he is left with a dull ache. On abdominal examination he is in some discomfort with tenderness and distension particularly in the peripheral part. Over the past 4 months he has been increasingly constipated having to take large amounts of laxatives to open his bowels. What is the diagnosis for this patient?
Carcinoma of sigmoid colon with acute closed-loop obstruction
Acute ileocolic intussusception
Caecal volvulus
Carcinoma of caecum with acute distal small bowel obstruction
Colonic pseudo-obstruction
An 84-year-old woman has been admitted with a 12-hour history of colicky abdominal pain, distension, vomiting and constipation; the vomitus, bilious to start with, became faeculent. Clinical examination shows a small erythematous tender lump below the inguinal ligament and lateral to the pubic tubercle. What is the diagnosis for this patient?
Strangulated femoral hernia
Caecal volvulus
Colonic pseudo-obstruction
Paralytic ileus
Sigmoid volvulus
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