An 84-year-old woman presented with 2 days of progressive abdominal distention and nausea, a distended abdomen without peritoneal signs on examination, an elevated white blood cell count, and segmental small-bowel dilatation on abdominal x-ray. What is your diagnosis?
Paul Olson et al perform a systematic review to characterize outcomes of palliative surgery for malignant bowel obstruction from peritoneal carcinomatosis to guide decision making about surgery and postoperative interventions for patients with terminal illness.
Winner et al conducted a large population-based study to investigate the incidence and risk factors associated with bowel obstruction in elderly patients with stage IV colon cancer. An invited critique by Krouse follows.