PT  - JOURNAL ARTICLE
AU  - Chia-Wei Chen
AU  - Wei-Jing Lee
TI  - Man with severe abdominal pain
AID  - 10.1136/emermed-2018-207440
DP  - 2018 Sep 01
TA  - Emergency Medicine Journal
PG  - 571--571
VI  - 35
IP  - 9
4099  - http://emj.bmj.com/content/35/9/571.short
4100  - http://emj.bmj.com/content/35/9/571.full
SO  - Emerg Med J2018 Sep 01; 35
AB  - 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