3 Days Of Colicky in Surgery — 35yo Man | General Surgery | SMLE Q#11397
SMLE Question #11397
Surgery
General Surgery
Objective: OBJ-TRACH-EMERG-01
Last updated: February 2026
A 35-year-old man with a prior open appendectomy presents with 3 days of colicky abdominal pain, progressive distension, bilious vomiting, and absolute constipation. He appears dehydrated. The abdomen is markedly distended with high-pitched bowel sounds and right iliac fossa tenderness without guarding. Erect abdominal radiograph shows multiple air–fluid levels with dilated small-bowel loops and a collapsed colon. He is planned for emergency exploratory laparotomy. Which anesthetic agent is contraindicated?
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