RT Journal
A1 Indar AA, Indar RA, Jr, Indar R
T1 IMage of the month—quiz case
JF Archives of Surgery
JO Archives of Surgery
YR 2003
FD February 1
VO 138
IS 2
SP 225
OP 225
DO 10.1001/archsurg.138.2.225
UL http://dx.doi.org/10.1001/archsurg.138.2.225
AB 
A 26-YEAR-OLD woman was admitted with a 1-week history of progressively worsening generalized abdominal pain associated with nausea and vomiting. She had multiple previous admissions for similar episodes of abdominal pain since she was 15 years old. These episodes were less severe and resolved spontaneously without a diagnosis. Her medical and social histories were unremarkable. Vital signs on admission were within reference ranges, and her abdominal examination showed diffuse tenderness but no peritonitis. A plain abdominal radiograph (Figure 1) and a single-contrast barium enema radiograph (Figure 2) are shown.