76 years old female presented with
abdominal pain x 4 days
abdominal distension x 4 days
DRE … empty rectum
Potassium = 2.77 mmol/l
What’s your opinion and further plan?
Thanks all for your suggestion and valuable concepts.
I did laparotomy this patient and the operative finding was mobilised , no attachment of caecum with peritoneum with volvulous. Distension of caecum and very thinning of the wall (+) with impending perforation