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Acute abdominal pain, abdominal tenderness and vomiting

    Author: Maria Ciolina, Federica Ciolina, Andrea Laghi, Rome, Italy
    Body Region: Abdomen and Pelvis

    1. Patient presentation
    2. CT Images
    3. CT Findings
    4. Diagnosis
    5. References

    1. Patient presentation

    • A 36-year-old woman presented to the emergency room after experiencing acute abdominal pain (especially in the right iliac fossa), abdominal tenderness and vomiting for 1 day.
    • On questioning, she said that, 10 years earlier, she had undergone subtotal colectomy for toxic megacolon.
    • Clinical examination revealed severe abdominal tenderness, board-like rigidity and rebound.
    • An AP supine radiograph showed small bowel dilatation.
    • Contrast-enhanced abdominal CT was performed to investigate further.
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