Author: Bryan Orji / Editor: Stephen Sheridan / Codes: / Published: 29/12/2025
A 56-year-old lady with Williams syndrome, presents to the Emergency Department (ED) with mild abdominal pain and distension, reporting she is unsure if her last bowel movement was 2 weeks ago. She is passing flatus and has noticed her pads being stained with small mucoid-like fluid. She is afebrile, not vomiting and generally feels fine.
No previous surgical history and takes sertraline and omeprazole.
The patient lives in supportive accommodation, requiring 24hr carers and assistance with all ADLs.
On examination:
HR 98/min,
RR 18/min
SpO2 96% on room air
BP 143/110mmHg
Temperature 37.2
Abdomen: markedly distended, generally tender with no guarding. Bowel sounds are hyperactive. She refuses a PR exam because she feels uncomfortable down there Routine bloods completed are unremarkable.
