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Small bowel obstruction in a young woman
  1. H Pak1,
  2. F Teixeira2,
  3. S Punjabi2,
  4. M Nicholson3,
  5. A Van Rij4
  1. 1Department of Surgery, Dunedin Public Hospital, Dunedin, New Zealand
  2. 2Outpatients Department, Hammersmith Hospital, London, UK
  3. 3Department of Pathology, Dunedin Public Hospital, Dunedin, New Zealand
  4. 4Department of Surgery, Dunedin Public Hospital, Dunedin, New Zealand
  1. Correspondence to:
    Dr F Teixeira
    Hammersmith Hospital/Imperial College School of Medicine, Du Cane Road, London W12 0HS, UK; fernandateixeiradoctors.org.uk

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Clinical presentation

Miss M, a 23 year old international student, presented with an eight week history of nausea, biliary vomiting, constipation, and abdominal pain with hyperactive bowel sounds. On examination, the only abnormality was some tenderness in the right upper …

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