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Dr. Joseph T. Ferrucci, Jr.: A 63-year-old white woman, who lived in a nursing home because of slowly progressive syringomylelia, was admitted to the hospital complaining of abdominal pain of one day's duration. The pain had occurred spontaneously, had radiated to the back, but was primarily located in the lower abdomen. Catheterization of the bladder by a nursing home attendant gave incomplete relief of pain. Several hours later she was given an enema. The material which was evacuated contained blood. She was then transferred to this hospital where she was found to have an elevated blood pressure of 200/110 mm Hg. She was afebrile; the pulse was regular at 80 beats per minute. A roentgenogram of the abdomen was obtained.
Dr. Laurence L. Robbins: Dr. Wyman, how do you interpret this?Dr. Stanley M. Wyman: I am concerned about her small-bowel pattern. There are several dilated small-bowel loops. She
Shea TE. Acute Abdominal Pain. JAMA. 1967;202(8):720–722. doi:10.1001/jama.1967.03130210094017
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