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Acute abdominal pain and vomiting

Author: Mariangela Santoni, Maria 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 50-year-old man presented to the emergency room after experiencing abdominal pain and vomiting for 5 hours.
  • On questioning, he said he had constipation but had never had surgery.
  • Clinical examination revealed distention, constipation and severe abdominal tenderness.
  • An AP supine radiograph showed large bowel dilatation.
  • Contrast-enhanced CT was performed to investigate further.