Eighty-nine-year-old woman with abdominal pain and vomiting

An 89-year-old female patient presented to the ED with mild abdominal pain and a history of vomiting for 3 days. Because of dementia, further history was unclear. Vital signs were normal. Clinical examination revealed mild abdominal pain without defence or signs of peritonism. Bowel sounds were norm...

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Bibliographic Details
Published in:	Emergency medicine journal : EMJ Vol. 35; no. 9; p. 576
Main Authors:	Schramm, Joerg, Rickenbacher, Andreas, Keller, Dagmar Iris
Format:	Journal Article
Language:	English
Published:	England 01-09-2018
Subjects:	Abdominal Pain - diagnostic imaging Abdominal Pain - etiology Aged, 80 and over Dementia - complications Female Humans Intestinal Volvulus - diagnosis Intestinal Volvulus - diagnostic imaging Radiography - methods Vomiting - etiology abdomen-non trauma x-ray emergency departments gastro intestinal imaging
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Summary:	An 89-year-old female patient presented to the ED with mild abdominal pain and a history of vomiting for 3 days. Because of dementia, further history was unclear. Vital signs were normal. Clinical examination revealed mild abdominal pain without defence or signs of peritonism. Bowel sounds were normal. Lab results showed a white cell count of 16x10 /L, otherwise normal. There was no episode of vomiting during the ED consultation. A supine AXR was performed (figure 1).emermed;35/9/576/F1F1F1Figure 1Supine AXR. WHAT IS THE DIAGNOSIS?: Foreign bodyGallstone ileusColon obstructionIntestinal volvulus.
ISSN:	1472-0213
DOI:	10.1136/emermed-2017-207359