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