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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).
A radiograph of the patient's abdomen.
QUESTION
What is most likely diagnosis?
Faecal impaction
Colonic volvulus
Abdominal aortic aneurysm
Cholelithiasis
For the answer see page 827
From the question on …
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.