Images in Clinical Medicine

A Medical Mystery: Dilated Bowel

Jason Handwerker, M.D., and Vassilios D. Raptopoulos, M.D.

N Engl J Med 2007; 356:503February 1, 2007

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Article

A 70-year-old man presented with a history of increasing abdominal distention. On physical examination, the patient was afebrile and his abdomen was soft and nontender. An abdominal radiograph raised concern about a sigmoid volvulus; thus, a computed tomographic (CT) scan of the abdomen was obtained. What disorder does this man have on the basis of his scout CT image (Panel A) and electrocardiogram (Panel B)?

Jason Handwerker, M.D.
Vassilios D. Raptopoulos, M.D.
Beth Israel Deaconess Medical Center, Boston, MA 02215
jhandwer@bidmc.harvard.edu

Citing Articles (2)

Citing Articles

1. 1

   A. Riaz, S. K. M. Gardezi, M. O’Reilly. (2010) Pseudo ventricular tachycardia: a case report. Irish Journal of Medical Science 179:2, 295-296
   CrossRef

2. 2

   Handwerker, Jason, Raptopoulos, Vassilios D., . (2007) A Medical Mystery: Dilated Bowel — The Answer. New England Journal of Medicine 356:13, 1381-1382
   Full Text

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