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From the question on page 1073

The patient had jejunal volvulus with intramural haematoma.

The international normalised ratio of prothrombin time on arrival was more than 8. Figures 1 and 2 in the question section show haemorrhagic ascites and nautilus-shaped jejunal volvulus with oedematous and hyperattenuated intestinal walls,which were compatible with intramural haematoma. Warfarin was discontinued upon arrival and intravenous vitamin K, together …

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