• Emerg Med J · Sep 2018

    Case Reports

    Man with severe abdominal pain.

    • Chia-Wei Chen and Wei-Jing Lee.
    • Department of Emergency Medicine, Chi-Mei Medical Center, Tainan, Taiwan.
    • Emerg Med J. 2018 Sep 1; 35 (9): 571.

    Clinical IntroductionA 59-year-old man with no medical history presented to the ED with abdominal distension, vomiting and diffuse abdominal pain after drinking seven cups of white gourd drink (an authentic Asian drink composed mainly of white gourd). A chest radiograph was performed (figure 1).emermed;35/9/571/F1F1F1Figure 1Chest radiograph. AP, anteroposterior.QuestionWhat is the most likely diagnosis?Crescent in doughnut sign, intussusceptionFalciform ligament sign, pneumoperitoneumStepladder sign, small bowel obstructionCoffee-bean sign, sigmoid colon volvulus.© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

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