Abdominal Distension and Constipation in an Adult

An unusual case of abdominal distension with constipation.

A previously healthy 3-year-old boy was referred by his general practitioner to the paediatric outpatient clinic because of a 6-month history of moderate to severe constipation. It was associated with mild central abdominal pain and slight weight loss. He had been treated with Movicol, with minimal effect. There were no other symptoms or history of foreign travel. He appeared well, but had a no...

Colonic distension and constipation.

An unusual presentation of abdominal distension.

1 of 3 DESCRIPTION A middle-aged man presented with increased abdominal girth over 6–9 months, associated with pain in the right upper quadrant and fl anks. History was signifi cant for a non-seminomatous testicular cancer in his teens with left orchiectomy, aortic node dissection and 1 week of chemotherapy. On examination, the abdomen was grossly distended and non-tender, with positive fl uid ...

Man with Abdominal Distension

CASE A 63-year-old man presented with abdominal distension and shortness of breath for two days. He reported flatus and denied chest pain, anorexia, vomiting, or abdominal pain. Surgical history was notable for left hepatectomy, cholecystectomy and choledochojejunostomy with a Rouxen-Y. He was afebrile with a pulse in the 100s, blood pressure of 130/60, respiratory rate of 34, and oxygen satura...

Management Strategies for Abdominal Bloating and Distension.

Bloating and distension are among the most common gastrointestinal complaints reported by patients with functional gut disorders and by the general population. These 2 complaints are also among the most prevalent of the severe symptoms reported by patients with irritable bowel syndrome. Nonetheless, only a limited number of published studies have specifically addressed bloating; it is infrequen...