EDITOR'S QUIZ: GI SNAPSHOT
Abdominal pain in a patient with an oesophageal stent
Cheltenham General Hospital, Cheltenham, UK
Correspondence to:
Correspondence to:
Dr K T Tan
Department of Radiology, Bristol Royal Infirmary, Bristol BS2 8HW, UK; K.T.Tan@bristol.ac.uk
Keywords: oesophagus; stent; complications; ileus; computed tomography
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A 90 year old female teetotal exsmoker was admitted with a two day history of central abdominal pain. She was nauseated and had not opened her bowels for the past two days. She had a history of laparoscopic cholecystectomy and oesophageal stent insertion for a benign oesophageal stricture secondary to acid reflux. She was taking fexonidine, valdecoxib, ferrous sulphate, cocodamol, and lansoprazole.
On examination, vital signs were normal. She had a tender and distended abdomen. Bowel sounds were present. She had a mildly raised urea level of 10.4 mmol/l. Her renal and liver biochemistry profiles were otherwise unremarkable. Full blood count was normal. Figure 1
shows her abdominal radiograph on admission.
[in a new window] Figure 1 Abdominal radiograph on admission.
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How would you manage the patient?
See page 1584 for answer
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EDITOR’S QUIZ: GI SNAPSHOT
Gut 2005 54: 1584.[Extract] [Full Text] [PDF]
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