Question 161 · LEK · Intestinal ischemia

The patient complains of strong, sudden abdominal pain, bloody diarrhoea, vomiting and frequent atrial fibrillation. During the physical examination, you stated only tenderness on deep palpation of the abdomen without muscular defence. Which of the following is the most probable diagnosis?

  1. A. acute intestinal ischemia.
  2. B. acute pancreatitis.
  3. C. intestinal obstruction.
  4. D. nephrolithiasis.
  5. E. acute appendicitis.
Hint

Note the arrhythmia as a source of emboli and the classic mismatch between severe pain and few abdominal findings.

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