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The patient is a 54-year-old woman who presents with a three-day history of constipation. She denies any vomiting, and you note no abdominal distension. She is passing small amounts of gas.
View the image taken (Figure 1) and consider what your diagnosis and next steps would be.
Resolution of the case is described on the page.
Clinical Challenge 2: October, 2010
Nahum Kovalski, BSc, MDCM
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