Abdominal Pain, Flatus

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Case History: 60-year-old male with complaints of inability to pass stool and flatus with pain in abdomen.

Case History: 60-year-old male presented to emergency room with complaints of inability to pass stool and flatus for two days, associated with pain in abdomen for four days.On examination, abdomen was tense distended, associated with guarding and rigidity.

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