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COLORECTAL DISEASE
Case #3 -
A 75 year old with lower abdominal pain and distension

DISCUSSION QUESTIONS:






















 
5.) What are the differences in presentation between large bowel obstruction and small bowel obstruction?

Differences between small bowel obstruction and large bowel obstruction:
Symptom Small bowel obstruction Large bowel obstruction
Pain location Mid abdomen Lower abdomen
Pain character Colicky to constant Continuous
Vomiting Early Late
Distension Mild to moderate Severe
Constipation or obstipation May be present Marked
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