You are here

Article Text

Article menu
Download PDFPDF
Image challenge
Man with severe abdominal pain
  1. Chia-Wei Chen,
  2. Wei-Jing Lee
  1. Department of Emergency Medicine, Chi-Mei Medical Center, Tainan, Taiwan
  1. Correspondence to Dr Wei-Jing Lee, Department of Emergency Medicine, Chi-Mei Medical Center, Tainan 710, Taiwan; saab931103{at}yahoo.com.tw

Abstract

Clinical introduction A 59-year-old man with no medical history presented to the ED with abdominal distension, vomiting and diffuse abdominal pain after drinking seven cups of white gourd drink (an authentic Asian drink composed mainly of white gourd). A chest radiograph was performed (figure 1).

Figure 1
Figure 1

Chest radiograph. AP, anteroposterior.

Question What is the most likely diagnosis?

  1. Crescent in doughnut sign, intussusception

  2. Falciform ligament sign, pneumoperitoneum

  3. Stepladder sign, small bowel obstruction

  4. Coffee-bean sign, sigmoid colon volvulus

  • abdomen
  • imaging
  • X-ray
  • resuscitation
  • clinical care

https://doi.org/10.1136/emermed-2018-207440

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    View Full Text

    Footnotes

    • C-WC and W-JL contributed equally.

    • Funding This research received no specific grant from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; internally peer reviewed.