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The patient is a 49-year-old woman who presents with a two-day history of chest pain and vomiting.
The exam reveals no cause for alarm, and other than the primary complaint the patient is in no remarkable distress. However, you discover that she has had intestinal volvulus twice in the past.
View the image taken (Figure 1) and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.
Clinical Challenge 2: April 2011
Nahum Kovalski, BSc, MDCM
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