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Images in emergency medicine
Distal intestinal obstruction syndrome: a mimic of acute appendicitis
  1. Harika Tirumani1,
  2. Sree Harsha Tirumani2
  1. 1 SVS Medical College, Mahabubnagar, India
  2. 2 Department of Imaging, Dana Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts, USA
  1. Correspondence to Dr Sree Harsha Tirumani, Department of Imaging, Dana Farber Cancer Institute, Harvard Medical School, 450 Brookline Ave, Boston, MA 02215, USA; tirumani.sreeharsha{at}gmail.com

https://doi.org/10.1136/emermed-2012-202075

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    A 23-year-old female with a history of cystic fibrosis (CF) presented to the emergency room with abdominal pain (7/10), vomiting and constipation for 3 days. Clinical examination revealed severe dehydration and distended tympanitic abdomen with palpable tender right lower quadrant lump. Laboratory examination revealed leukocytosis, anaemia and metabolic acidosis. Plain abdominal radiograph revealed small …

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    Footnotes

    • Contributors SHT: design and data acquisition. HT: draft of manuscript.

    • Competing interests None.

    • Patient consent Obtained.

    • Ethics approval Institutional review board approval is not required for single case reports.

    • Provenance and review Not commissioned; internally peer reviewed.