millennial_vulcan

@Darkknight111

When copying me my handle is actually spelled @millennial_vulcan

I always read your posts anyway.

DukeOfRaul

Watched polterjew 3 the other day. Fuck indians and that creepy bitch too.

maggiethatcher

Docfag here. I can clarify the bowel stuff for you. "Intestinal stenosis of the ileum" doesn't exist. You can have an intussusception but that is mostly a condition affecting small children under 4, it causes bowel obstruction. Other Bowel obstruction can either be large bowel or small bowel. Small bowel obstruction (SBO) is not something that gives you sepsis, generally. You vomit and keep vomiting until it is resolved. Intussusception can produce a small bowel obstruction (but I don't think it's that because of age). Large bowel obstruction is a super medical emergency and is obstruction of the colon. It doesn't usually give you vomiting because there is a valve at the small bowel which stops stuff going in the reverse direction. If the valve fails you can get vomiting but more often you get a "closed loop" of bowel and the bowel bursts, killing you with fecal peritonitis and sepsis. This is almost certainly not applicable to a 12 year old because 99% of large bowel obstructions are due to some event happening later in life such as bowel or ovarian cancer. A traumatic injury doesn't cause LBO.

So what is more likely? I agree that the presentation as suggested is almost certainly sepsis. Now, sepsis can be from many sources but we assume it is bowel related because of the cover story. So the story is almost certainly of a bowel perforation. This leaks bowel contents into the abdominal cavity and over 48-72 hours will kill you without surgery. I think that fits the timeline. In order to get a bowel perforation you have to have some trauma to it (or a distal obstruction with a LBO, as I said you don't tend to get perforation with SBO because you just vomit). That is, a tear or injury. In this age group it has to be a puncture injury.

Somebody has rammed something either up the rectum, tearing it, or up the vagina. A perforation of the vagina can cause sepsis in itself if made with a dirty instrument. More likely though would be a rectal perforation. This would lead to sepsis (requiring ambulance) within 48 hours and death within hours from that point.

Hope that helps

781842_Anon

Lawfag here. I am glad that people like you post information. It is very useful. There is always an expert who will chime in, and there are always people who will research and research.