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Elderly man with abdominal distension
  1. Min-Po Ho,
  2. Kuang-Chau Tsai
  1. Department of Emergency Medicine, Far Eastern Memorial Hospital, New Taipei City, Taiwan
  1. Correspondence to Dr Min-Po Ho, Department of Emergency Medicine 21, Nan-Ya S. Road, Section 2, Banqiao District, New Taipei City 220, Taiwan, ROC; hominpo{at}yahoo.com.tw

http://dx.doi.org/10.1136/emermed-2014-204497

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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).

    Figure 1

    A radiograph of the patient's abdomen.

    QUESTION

    What is most likely diagnosis?

    1. Faecal impaction

    2. Colonic volvulus

    3. Abdominal aortic aneurysm

    4. Cholelithiasis

    For the answer see page 827

    From the question on …

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    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.