42/F, RA treated with Aspirin,c/o Severe Pain Abdomen & Distension

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42/F, RA treated with Aspirin,c/o Severe Pain Abdomen & Distension

Clinical Vignette A clinical vignette is a concise presentation of an interesting or challenging patient encounter that stimulated an interesting learning issue.

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42/F, RA treated with Aspirin,c/o Severe Pain Abdomen & Distension - 01-07-2007, 01:31 PM

42 year old woman, with rheumatoid arthritis treated with aspirine. With severe abdominal pain with distention and defense at the physical exam.
Here is the abdominal lateral radiograph. What do you see in it, and what do you think is the most probable diagnosis?

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Last edited by JNUS; 01-07-2007 at 07:08 PM. Reason: Changed Subject

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