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Effective, adaptive learning that helps you prepare for certification, maintain competency, and sharpen clinical decision-making while earning CME and MOC. Author Center Subscribe or Renew Keyword Advanced Search Image Challenge February 13, 2020 Email Copy URL Facebook Twitter LinkedIn Email Copy URL Facebook Twitter LinkedIn Email Copy URL A 74-year-old woman presented to the gastroenterology clinic with a long history of bloating and abdominal distention. On physical examination, the abdomen was found to be distended but was nontender on palpation, with normal bowel sounds. This image shows findings on computed tomography of the abdomen and pelvis. What is the most likely diagnosis? Diffuse mesenteric hydatid cyst disease Senile ileus Pneumatosis cystoides intestinalis Intestinal lipomatosis Food bolus obstruction Submit See how others chose Back to Poll 46421 Total Responses Next Challenge 46421 Total Responses Try Again Next Challenge Showing 1-16 of 746 images Next Prev 1 2 3 4 5 … 47 Page 1 You May Also Like Interactive Medical Case A Rapid Change in Pressure Interactive Medical Case Facing Uncertainty Interactive Medical Case The Element of Surprise Interactive Medical Case Bad to the Bone Interactive Medical Case A Disturbing Decline Interactive Medical Case A Dangerous Detour Tap into groundbreaking research and clinically relevant insights Subscribe Already a subscriber? 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