The abdomen was nondistended, soft, and diffusely tender (predominantly in the epigastrium), and there was guarding without rebound. The rectal examination was normal, with no palpable stool in ...

Clinical examination of the underweight patient (BMI 17.4) found a tight abdomen with diffuse guarding and no bowel sounds. Abdominal computed tomography showed a massively dilated, tightly filled ...

Pain upon pressure to the upper abdomen and early abdominal guarding was clinically striking ... Apart from gangrenous cholecystitis, no signs of intestinal ischemia were seen intraoperatively.