A 68-year-old man presents with crampy abdominal pain and distention with vomiting. Findings on physical examination are positive for healed abdominal scars. X-rays reveal multiple gas fluid levels. The WBC count is 12,000. What is the most likely diagnosis?
The presence of distended loops of bowel indicate bowel obstruction. The clinical features favor mechanical obstruction rather than paralytic ileus due to infection. Obstruction due to adhesions is more common than obstruction due to hernia.
Small-bowel intestinal obstruction due to adhesions
Hernia
Appendicitis
Inflammatory bowel disease
Small & Large Intestine