Intended for healthcare professionals

Endgames Spot Diagnosis

A man with severe abdominal pain

BMJ 2016; 353 doi: (Published 27 April 2016) Cite this as: BMJ 2016;353:i2379
  1. Joseph Dalby Sinnott, core surgical trainee1,
  2. David C Howlett, consultant radiologist2
  1. 1Department of Surgery, East Sussex Hospitals NHS Trust, Eastbourne, UK
  2. 2Department of Radiology, East Sussex Hospitals NHS Trust
  1. Correspondence to: J D Sinnott j.d.sinnott{at}

A 38 year old man presented to the emergency department with a 12 hour history of central and right sided severe abdominal pain. The pain had been getting gradually worse, he had vomited, and he was finding it difficult to walk. On examination he looked unwell, his temperature was …

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