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A Curious Case of Right Upper Quadrant Abdominal Pain.
Journal Title
The western journal of emergency medicine
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2016-08-08
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17
Publication Issue
5
Publication Begin
630
Publication End
3
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Abstract
An otherwise healthy 36-year-old man presented with sudden-onset right upper quadrant abdominal pain and vomiting. A bedside ultrasound, performed to evaluate hepatobiliary pathology, revealed a normal gallbladder but free intraperitoneal fluid. After an expedited CT and emergent explorative laparotomy, the patient was diagnosed with a small bowel obstruction with ischemia secondary to midgut volvulus. Though midgut volvulus is rare in adults, delays in definitive diagnosis and management can result in bowel necrosis. Importantly, an emergency physician must be able to recognize bedside ultrasound findings associated with acutely dangerous intrabdominal pathology.
Citation
Grock A, Chan W, deSouza IS. A Curious Case of Right Upper Quadrant Abdominal Pain. West J Emerg Med. 2016 Sep;17(5):630-3. doi: 10.5811/westjem.2016.7.31011. Epub 2016 Aug 8. PMID: 27625732; PMCID: PMC5017852.