A 45-year-old patient presents with severe abdominal pain, vomiting, a distended abdomen, and absent bowel sounds. What is the most likely diagnosis?
Gastroenteritis
Diverticulitis
Intestinal obstruction
Peptic ulcer
The correct answer is 'Intestinal obstruction'. This condition is characterized by severe abdominal pain, vomiting, distension, and absent bowel sounds due to a blockage that prevents the normal flow of contents through the intestines. 'Gastroenteritis' usually includes symptoms like diarrhea and less commonly results in absent bowel sounds. 'Peptic ulcer' can cause severe pain but not typically lead to abdominal distension and absent bowel sounds. 'Diverticulitis' often presents with localized pain, usually in the lower left abdomen, accompanied by fever and bowel changes, but not commonly with absent bowel sounds and significant distension.
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