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Resolution
The x-ray is consistent with volvulus. This patient was, in fact, determined to have a volvulus. She was referred to hospital for surgical management.
Acknowledgment: Cases presented by Nahum Kovalski, BSc, MDCM, Terem Emergency Medical Centers, Jerusalem, Israel.
These cases are among hundreds that can be found in Terem’s online X-ray Teaching File, with more being added daily. Free access to the file is available at https://www2.teremi.com/xrayteach/. A no-cost, brief registration is required.
Clinical Challenge 2: April 2011
Nahum Kovalski, BSc, MDCM
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