Guidance to support appropriate safety netting of patients

Positive abdominal paracentesis. Abdominal XR with a paucity of bowel gas. Raised serum amylase. Decreased serum phosphate. Abdominal paracentesis should be normal. Early signs of mesenteric ischaemia and intestinal ischaemia mimic bowel obstruction, but as vascular occlusion progresses the bowel wall becomes oedematous and necrotic with severe thickening ................
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