RT Journal Article
SR Electronic
T1 Eighty-nine-year-old woman with abdominal pain and vomiting
JF Emergency Medicine Journal
JO Emerg Med J
FD BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine
SP 576
OP 576
DO 10.1136/emermed-2017-207359
VO 35
IS 9
A1 Joerg Schramm
A1 Andreas Rickenbacher
A1 Dagmar Iris Keller
YR 2018
UL http://emj.bmj.com/content/35/9/576.abstract
AB 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).Figure 1 Supine AXR.What is the diagnosis?Foreign bodyGallstone ileusColon obstructionIntestinal volvulus