Article Text
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Emergency management of an uncommon abdominal pain
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- Internal hernia
- paraduodenal hernia
- small bowel obstruction
- abdominal pain
- abdominal surgery
- radiology
- small intestine
Clinical presentation
A 69-year-old man with medical history of hypercholesterolaemia presented to our emergency department with a 1-day history of abdominal pain. The pain was neither related to eating nor affected by position. There was no recent change in bowel habit. He was haemodynamically stable, but a palpable left abdominal mass was noted. Laboratory tests were within normal limits. An erect abdominal radiograph suggested small bowel loops clustered in the left side of abdomen (figure 1) but because of diagnostic uncertainty an urgent computed tomography (CT) scan was performed within 3 h on the …
Footnotes
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; not externally peer review.