M Alsayid, V Kotwal. Clin Gastroenterol Hepatol 2022; DOI:https://doi.org/10.1016/j.cgh.2021.06.030. Open Access: Chronic Constipation With Fecal Stasis
A 50 year old with a history of abdominal distention for a week and chronic constipation had a CT with intravenous contrast. Ultimately he had a disimpaction under general anesthesia and a flexible sigmoidoscopy.
My view: A complete examination with digital rectal exam (if feasible) or an AXR would have been sufficient for diagnosis.
Blog note: Link for We Can’t Wait App updated in yesterday’s post.
gutsandgrowth 
1. What was the indication for sigmoidoscopy? or was that just part of the clean out process?
2. Was the CT a “request” from the patient and a consequence of the failed patient satisfaction concept?
–doesn’t look like the article answers those questions