@article {Chen571, author = {Chia-Wei Chen and Wei-Jing Lee}, title = {Man with severe abdominal pain}, volume = {35}, number = {9}, pages = {571--571}, year = {2018}, doi = {10.1136/emermed-2018-207440}, publisher = {British Association for Accident and Emergency Medicine}, 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 Chest radiograph. AP, anteroposterior.Question What is the most likely diagnosis?Crescent in doughnut sign, intussusceptionFalciform ligament sign, pneumoperitoneumStepladder sign, small bowel obstructionCoffee-bean sign, sigmoid colon volvulus}, issn = {1472-0205}, URL = {https://emj.bmj.com/content/35/9/571}, eprint = {https://emj.bmj.com/content/35/9/571.full.pdf}, journal = {Emergency Medicine Journal} }