ED Constipation Bounceback

Case #242

A 70-year-old woman presented to the ED with constipation and abdominal distension.

She used a wheelchair due to spinal stenosis and was on chronic opioids.

The ED physician (Dr. C) obtained an abdominal x-ray to rule out obstruction.

It showed a large stool burden but no air-fluid levels or free air.

She was given an enema and discharged with a prescriptio…