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Question 1 of 3
A 74-year-old woman presents to the emergency department with several days of worsening abdominal pain and constipation. She reports that her last bowel movement was 3 days ago and is unsure if she has been passing flatus. Vital signs are within normal limits. Physical examination is notable for a markedly distended abdomen. A barium enema radiograph is shown in Figure A. Which of the following is the best next step in management?
Clinical finding

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