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An 84-year-old woman was admitted because of a 7-day history of intermittent colicky abdominal pain, vomiting and progressive abdominal distension. She was afebrile and her abdomen was diffusely tender with hyperactive bowel sounds on auscultation. Her medical history was notable for asymptomatic cholelithiasis with a single, large stone within …
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; not externally peer reviewed.