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Updated: Feb 6, 2026

An Experimental Paradigm for the Prediction of Post-Operative Pain PPOP
Published on: January 27, 2010
Eighty-nine-year-old woman with abdominal pain and vomiting
Joerg Schramm1, Andreas Rickenbacher2, Dagmar Iris Keller1
1Institut für Notfallmedizin, UniversitatsSpital Zurich, Zurich, Switzerland.
Clinical Introduction:
An 89-year-old female patient presented to the ED with mild abdominal pain and a history of vomiting for 3 days. Because of dementia, further history was unclear. Vital signs were normal. Clinical examination revealed mild abdominal pain without defence or signs of peritonism. Bowel sounds were normal. Lab results showed a white cell count of 16x109/L, otherwise normal. There was no episode of vomiting during the ED consultation. A supine AXR was performed (figure 1).emermed;35/9/576/F1F1F1Figure 1Supine AXR. WHAT IS THE DIAGNOSIS?: Foreign bodyGallstone ileusColon obstructionIntestinal volvulus.
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