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Abdominal pain in a patient with an oesophageal stent
  1. K T Tan,
  2. N Borley,
  3. R Hopkins
  1. Cheltenham General Hospital, Cheltenham, UK
  1. Correspondence to:
    Dr K T Tan
    Department of Radiology, Bristol Royal Infirmary, Bristol BS2 8HW, UK; K.T.Tanbristol.ac.uk

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Clinical presentation

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.

Figure 1

 Abdominal radiograph on admission.

Question

How would you manage the patient?

See page 1584 for answer

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Footnotes

  • Robin Spiller, editor

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