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Abstract
Clinical introduction An 89-year-old female patient presented to the ED with mild abdominal pain and a history of vomiting for 3 days. Because of dementia, further history was unclear. Vital signs were normal. Clinical examination revealed mild abdominal pain without defence or signs of peritonism. Bowel sounds were normal. Lab results showed a white cell count of 16x109/L, otherwise normal. There was no episode of vomiting during the ED consultation. A supine AXR was performed (figure 1).
Supine AXR.
What is the diagnosis?
Foreign body
Gallstone ileus
Colon obstruction
Intestinal volvulus
- abdomen-non trauma
- gastro intestinal imaging
- x-ray emergency departments
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Footnotes
Contributors JS assessed the patient in the ED and wrote the article. AR was the involved surgeon. DIK planned and reviewed the article.
Competing interests None declared.
Patient consent Obtained.
Provenance and peer review Not commissioned; internally peer reviewed.
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