Acute abdominal pain, abdominal tenderness and vomiting

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

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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