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General Medicine General e625f927

An 85-year-old woman hasa 48-hour history of generalized abdominal pain and vomiting. On examination, she is dehydrated multiple dilated small bowel loops measuring up to 4 cm in diameter. A linear gas-filled structure is present in the right upper quadrant with short branches extending from it. What is the most likely diagnosis?

A
Acute mesenteric ischemia
B
Emphysematous cholecystitis
C
Gallstone ileus
D
Obstructed right inguinal hernia

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