Benjamin Ecklund

Sep 20, 2024 | goldjournal.net | Kevin Alter |Charles White |Paul Fine |Benjamin Ecklund

QUESTIONFifty-five-year-old male with a history significant for a superficial stab-wound without repair, diabetes mellitus, and recurrent UTIs is presented with abdominal pain and burping for 4 days. Exam revealed generalized abdominal tenderness and ventral hernia. Imaging showed 8-cm cystolithiasis, moderate bilateral hydronephrosis, and left staghorn renal calculus. A nasogastric tube was placed, however, he subsequently developed small bowel obstruction (Fig. 1).