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A D V E R T I S E M E N T
A D V E R T I S E M E N T
A 58-year-old woman presented to the emergency room with a history of 4 days of dark loose stool and a 24-hr history of worsening abdominal pain. There was no history of prior abdominal surgery or ulcer disease. On abdominal exam there was diffuse 3+ tenderness, guarding and 1+ rebound. Bowel sounds were hypoactive. She was afebrile, WBC was 13K without a shift. Hemoglobin and hematocrit were low normal. Her normal abdominal upright film is shown.
A D V E R T I S E M E N T
Upright chest X-ray showed no free subphrenic air.
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The patient was taken for CT scan of the abdomen. There were bubbles of free air around the first portion of the duodenum and inferior vena cava.
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This page was last modified on 8/18/2008.
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