Problem:
A 70-year-old woman presents to the emergency department with nausea and vomiting for 2 days, she had history of laparotomy for ovarian pathology 30 years ago. CT scan shows air in the gallbladder, air-fluid levels in the small intestines, and a transition point in the distal small intestines. What is the most likely diagnosis: Need Assignment Help? a. Adhesive intestinal obstruction b. Gall stone ileus c. Pseudo obstruction d. Paralytic ileus e. None of the above