GI Emergencies: A Quick Reference Guide

Robert C. Lowe, MD; Francis A. Farraye, MD, MSc

Chapter 5: Bowel Obstruction And Pseudo-Obstruction (continued)

Joann Kwah , MD; Wanda P. Blanton, MD

You receive the following call from the emergency department (ED): A patient was brought in from his nursing home with a past medical history significant for advanced Parkinson’s disease. He is sent here because the staff noted worsening abdominal distension and altered mental status. They also noted that the patient has not had a bowel movement in 5 days. Enemas and oral laxatives were given over the past few days, but the patient still did not have a bowel movement. An abdominal x-ray shows massive colonic distension with a classic inverted U-shaped appearance suspicious for…