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Emergency management of an uncommon abdominal pain
  1. Chia-Hung Lu1,2,
  2. Tung-Cheng Chang3,4,
  3. Pen-Shen Lai3,4,
  4. Hong-Jen Hsieh1,2,
  5. Kao-Lang Liu1
  1. 1Department of Medical Imaging, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan
  2. 2Department of Medical Imaging, National Taiwan University Hospital Yun-Lin Branch, Yun-Lin, Taiwan
  3. 3Department of Surgery, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan
  4. 4Department of Surgery, National Taiwan University Hospital Yun-Lin Branch, Yun-Lin, Taiwan
  1. Correspondence to Dr Kao-Lang Liu, Department of Medical Imaging, National Taiwan University Hospital and National Taiwan University College of Medicine, No. 7, Chung-Shan South Road, Taipei, Taiwan; lkl{at}ntu.edu.tw

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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 …

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