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“Swirl Sign”: A Case of Abdominal Pain After Roux-en-Y Gastric Bypass Surgery
| Content Provider | Semantic Scholar |
|---|---|
| Author | Corsino, Carlin Harper, Hillary M. Sieg, Vanessa |
| Copyright Year | 2018 |
| Abstract | CASE PRESENTATION A 57-year-old female presented to the emergency department (ED) with periumbilical and left upper quadrant abdominal pain. The pain began abruptly 12 hours prior to presentation and was worsening. Her pain increased with supine position and was associated with nausea and vomiting. Her past medical history was significant for hypertension, gastroesophageal reflux disease and obesity. Prior to presentation in our ED, she underwent a laparoscopic Roux-en-Y procedure for weight loss 10 years prior at an outside hospital. On arrival, pertinent vitals included a heart rate of 115 beats per minute, 20 breaths per minute and blood pressure of 190/100 mmHg. Laboratory studies in the ED were significant for a leukocytosis (14.7 x 109/L), and a lactate level of 5.4 mmol/L. The remainder of laboratory studies were normal. Computed tomography (CT) images were obtained (Images 1 and 2). |
| Starting Page | 270 |
| Ending Page | 271 |
| Page Count | 2 |
| File Format | PDF HTM / HTML |
| PubMed reference number | 30083653v1 |
| Alternate Webpage(s) | https://doi.org/10.5811/cpcem.2018.3.37196 |
| DOI | 10.5811/cpcem.2018.3.37196 |
| Journal | Clinical practice and cases in emergency medicine |
| Volume Number | 2 |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | Abdominal Pain Accident and Emergency department Erectile dysfunction Gastroesophageal reflux disease How Much Distress Weight Loss Hypertensive disease Lactic acid Leukocytosis Nausea and vomiting Portion of respiratory air Stomach Neoplasms Tomography, Emission-Computed X-Ray Computed Tomography beats per minute breaths per minute millimole torr |
| Content Type | Text |
| Resource Type | Article |
