The patient, 90, has a severely bloated small intestine. Neither cancer nor any other mechanical disorder obstructing the small intestine has been spotted on the CT. The colon is dry and empty. It just looks, as if the small intestine, and only the small intestine, was blocked and inflated. Pancreas and liver are fine. The patient is indolent but hasn't been able to defacate for almost three weeks now. He is nurrished by a central line. The obstruction resulted in reflux, whicht the patient aspirated. This resulted in a (relativly mild) pneumonia. However, the patient suffers from large amounts of mucus hindering his proper breathing. Due to the patient's state, exploratorial surgery is not an option.
Other symptoms are:
-anemia (HB around 9.5)
The quandary is that every mean of diagnosis is difficult in the patients state. Does anybody maybe has an idea what could be the condition causing the bloated small intestine?