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OpenAthens Shibboleth
Special Feature
July 2001

Image of the Month

Author Affiliations

From the Department of Surgery, Emory University School of Medicine, Atlanta, Ga.




Copyright 2001 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2001

Arch Surg. 2001;136(7):835. doi:

A 42-YEAR-OLD man had 45% third degree burns to his chest and back. Three weeks later, while being treated for sepsis, he developed intolerance to tube feedings, persistent acidosis, and massive abdominal distention. The abdominal radiograph is shown in Figure 1. Operative findings demonstrated necrotic bowel that was folded on itself anteriorly, creating a proximal obstruction.

What Is the Diagnosis?

A. Intussception B. Cecal bascule C. Sigmoid volvulus D. Cecal volvulus