Endgames
Spot Diagnosis
Abdominal pain in a 24 year old woman
BMJ 2016; 355 doi: https://doi.org/10.1136/bmj.i5264 (Published 13 October 2016) Cite this as: BMJ 2016;355:i5264- Joseph Dalby Sinnott, core surgical trainee1,
- David C Howlett, consultant radiologist2
- 1Department of Surgery, East Sussex Hospitals NHS Trust, Eastbourne, UK
- 2Department of Radiology, East Sussex Hospitals NHS Trust, Eastbourne, UK
- Correspondence to: J D Sinnott j.d.sinnott{at}gmail.com
A 24 year old woman was admitted to the surgical assessment unit with a tender, distended abdomen. She mentioned increasingly frequent bloody diarrhoea for the past week. Clinically she was dehydrated and pyrexial (38.6°C). She was also tachycardic (124 bpm) and had a raised white cell count (14×109/L). A supine abdominal radiograph was obtained (fig 1 …
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