Ambiguous Anatomy and Its Pain

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Author(s)
Aumeerally, MI
Lin, YT
Chua, TC
Griffith University Author(s)
Year published
2021
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Question: A 46-year-old woman presented to the emergency department with a 1-day history of sudden onset colicky central abdominal pain. She had been passing flatus until that morning and her last bowel motion was the day before. She had been tolerating diet without any nausea or vomiting. She had no significant medical history and had otherwise been previously fit and well throughout her life. She had no previous surgery and no previous endoscopic procedures. She was an active smoker. Her vital signs were normal on surgical review. Initially she appeared comfortable however on serial observations she appeared to develop ...
View more >Question: A 46-year-old woman presented to the emergency department with a 1-day history of sudden onset colicky central abdominal pain. She had been passing flatus until that morning and her last bowel motion was the day before. She had been tolerating diet without any nausea or vomiting. She had no significant medical history and had otherwise been previously fit and well throughout her life. She had no previous surgery and no previous endoscopic procedures. She was an active smoker. Her vital signs were normal on surgical review. Initially she appeared comfortable however on serial observations she appeared to develop waves of colicky and severe cramping pain. There was no abdominal distension noted. Her abdomen was generally tender maximally in the epigastrium with localized guarding. Her white cell count was 12.9 × 109/L and her C-reactive protein was 2.0 mg/L. Her serum electrolytes, renal function, liver function tests, and lipase were all normal.
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View more >Question: A 46-year-old woman presented to the emergency department with a 1-day history of sudden onset colicky central abdominal pain. She had been passing flatus until that morning and her last bowel motion was the day before. She had been tolerating diet without any nausea or vomiting. She had no significant medical history and had otherwise been previously fit and well throughout her life. She had no previous surgery and no previous endoscopic procedures. She was an active smoker. Her vital signs were normal on surgical review. Initially she appeared comfortable however on serial observations she appeared to develop waves of colicky and severe cramping pain. There was no abdominal distension noted. Her abdomen was generally tender maximally in the epigastrium with localized guarding. Her white cell count was 12.9 × 109/L and her C-reactive protein was 2.0 mg/L. Her serum electrolytes, renal function, liver function tests, and lipase were all normal.
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Journal Title
Gastroenterology
Volume
160
Issue
4
Copyright Statement
© 2021 by the AGA Institute. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International Licence (http://creativecommons.org/licenses/by-nc-nd/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, providing that the work is properly cited.
Subject
Clinical sciences
Neurosciences
Anatomy
Gastrointestinal
Malrotation
Situs Anomalies
Small Bowel