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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) …
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; not externally peer reviewed.