Acute colonic pseudo-obstruction (Ogilvie's syndrome).
This elderly male patient presented very unwell with a 2-day history of abdominal pain and distension. The X-rays demonstrate marked colonic dilation. At colonoscopy the mucosa appeared normal, and no obstructing lesion was found. He was decompressed during the procedure, and given intravenous fluids and antibiotics. He recovered without the need for surgical intervention.
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