Snapshot A 47-year-old woman on the surgery floor complains of abdominal pain and bloating. She was admitted for appendicitis and underwent a laparoscopic appendectomy 2 days ago. She reports feeling fine since the surgery and denies any fever, swelling, hematuria, hematochezia, or nausea. Her last bowel movement was 3 days ago and she denies any flatulence. A physical examination is unremarkable except for a lack of bowel sounds. Introduction Clinical definition login to view 1 more bullet Epidemiology Demographics login to view 1 more bullet Risk factors login to view 8 more bullets ETIOLOGY Pathogenesis login to view 8 more bullets Presentation Symptoms login to view 5 more bullets Physical exam login to view 4 more bullets imaging Abdominal radiograph login to view 4 more bullets Studies Diagnostic testing login to view 12 more bullets Differential Mechanical bowel obstruction login to view 2 more bullets Pancreatitis login to view 2 more bullets Treatment First-line login to view 12 more bullets Complications Perforation Bowel necrosis/ischemia Peritonitis Hemodynamic instability Death