A 65-year-old gentleman with no previous surgical history, underwent total hip replacement. He complains of abdominal distension, constipation and vomiting but no significant pain 2 days after surgery. Examination reveals absent bowel sounds and xray abdomen shows multiple gas, fluid levels in small and large bowel. Most appropriate initital management in this case could be
- Urgent exploratory laparotomy
- NG tube, electrolyte and fluid balance
- Broad spectrum Antibiotics
- Rectal tube and decompression
Diagnois here is ileus. Conservative management, initially.