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Images in emergency medicine
The whirl sign
  1. J S You1,
  2. S D Kim2,
  3. S P Chung3,
  4. Y E Chung4
  1. 1Department of Emergency Medicine & Critical Care Medicine, Seo-Ulsan Boram Hospital, Ulsan, Republic of Korea
  2. 2Department of Surgery, Seo-Ulsan Boram Hospital, Ulsan, Republic of Korea
  3. 3Department of Emergency Medicine, College of Medicine, Yonsei University, Seoul, Republic of Korea
  4. 4Department of Radiology, College of Medicine, Seoul National University, Seoul, Republic of Korea
  1. Correspondence toYong Eun Chung, Department of Radiology, College of Medicine, Seoul National University, Yongon-dong 28, Chongno-gu, Seoul 110-744, Korea; yelv{at}radiol.snu.ac.kr

https://doi.org/10.1136/emj.2009.078097

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    A 64-year-old woman presented for evaluation of abdominal pain and vomiting of 2 days duration. She underwent a subtotal gastrectomy and Billroth II gastrojejunostomy due to stomach cancer 9 years previously. She had direct and rebound tenderness and distension throughout the entire abdomen. Radiography (figure 1A) and computed tomography (CT) …

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    Footnotes

    • Competing interests None.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; not externally peer reviewed.