Article Text
Image challenge
Elderly man with abdominal distension
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Imaging case history
An 83-year-old man with a history of hypertension and diabetes presented at our emergency department with abdominal pain as well as distension for 2 weeks. On physical examination, the patient was found to be having mild tenderness in mid-abdomen, without peritoneal signs. Laboratory tests were within the normal range. A radiograph of his abdomen was obtained (figure 1).
QUESTION
What is most likely diagnosis?
Faecal impaction
Colonic volvulus
Abdominal aortic aneurysm
Cholelithiasis
For the answer see page 827
From the question on …
Footnotes
Contributors M-PH, K-CT: Patient care, concept and design, article research, authorship, and editing.
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; internally peer reviewed.