RCOM-Cecal bascule with Chilaiditi’s sign
Glenn Gray, MD and Alan Tikotsky, M
A 43-year-old woman pre-sented to the emergency department
complaining of severe abdominal pain, nau-sea, and vomiting which
awakened her from sleep 2 hours earlier. Physical exami-nation
showed a diffusely tender, distended, tympanic abdomen with
decreased bowel sounds. Laboratory test results were within nor-mal
limits. The patient's med-ical history was significant only for a
cesarean section 7 years previously. Conven-tional radiographs of
the chest and abdomen were obtained. A computed tomo-graphic scan
and barium enema were performed, fol-lowed by laparotomy.