#oldrecallmccqe1
This illustration is of a plain abdominal radiograph of a 74-year-old woman with a 12-hour history of colicky abdominal pain, distension and absolute constipation. Her past medical history is unremarkable, apart from chronic constipation for which she takes senna. She had an appendicectomy at the age of 44 years. Which one of the following would be the most likely cause of her current problem?
(A) Sigmoid volvulus
(B) Carcinoma of the sigmoid colon
(C) Diverticular disease of the sigmoid colon
(D) Small bowel obstruction
(E) Pseudo-obstruction of the large bowel
This illustration is of a plain abdominal radiograph of a 74-year-old woman with a 12-hour history of colicky abdominal pain, distension and absolute constipation. Her past medical history is unremarkable, apart from chronic constipation for which she takes senna. She had an appendicectomy at the age of 44 years. Which one of the following would be the most likely cause of her current problem?
(A) Sigmoid volvulus
(B) Carcinoma of the sigmoid colon
(C) Diverticular disease of the sigmoid colon
(D) Small bowel obstruction
(E) Pseudo-obstruction of the large bowel
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