TY - JOUR T1 - Perplexing plain abdominal x-ray JF - Gut JO - Gut DO - 10.1136/gut.2010.215822 SP - gut.2010.215822 AU - L Crush AU - O J O'Connor AU - W Plant AU - M R Clarkson AU - F Shanahan AU - M M Maher Y1 - 2010/01/01 UR - http://gut.bmj.com/content/early/2010/08/30/gut.2010.215822.abstract N2 - A 62-year-old man presented with generalised abdominal pain of 4 h duration with associated cough and pyrexia for 2 days. He had developed nephrotic syndrome 17 years previously due to focal segmental glomerulosclerosis and progressed to end-stage kidney disease for which he required haemodialysis three times a week for 6 years. The patient had undergone resection of 10 cm of his distal small bowel due to obstruction secondary to a benign stricture 5 years previously. Oesophagogastroduodenoscopy, colonoscopy, barium meal and enema studies in the previous 2 years were normal apart from the detection of a small sliding hiatus hernia. Examination revealed diffuse abdominal tenderness without … ER -