An 81-year-old man with advanced Parkinson disease is transferred - TopicsExpress

An 81-year-old man with advanced Parkinson disease is transferred from a nursing home with a 1-day complaint of crampy abdominal pain. The pain is moderate and mostly in the left lower quadrant. The patient also states that his stomach appears more bloated than normal. He has a chronic history of constipation; his last bowel movement was 2 days ago. On physical examination, his vital signs are within normal limits, and there is moderate tenderness to palpation in the periumbilical area without guarding or rebound. The rectal examination does not reveal any stool. His abdominal radiograph is shown. What is the most likely diagnosis? A. Intussusception B. Femoral hernia C. Fecal impaction D. Sigmoid volvulus

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