Image Based Question-71135

Question

An 80-year-old man presented with colicky abdominal pain, constipation for three days, and repeated vomiting for 1 day. Physical examination showed a distended abdomen with hyperactive bowel sounds.

No abdominal mass or organomegaly was detected. Laboratory investigations were unremarkable. A supine Abdominal Xray was performed as an initial investigation.What can be the most probable diagnosis?

A. Small Bowel Obstruction

B. Large Bowel Obstruction

C. Perforated Peptic Ulceration

D. Acute Appendicitis

 

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