CASE 155

History: A 25-year-old woman presents with sudden onset of severe abdominal pain after several episodes of intermittent abdominal pain and swelling.

1. What should be included in the differential diagnosis of the imaging finding shown in Figure A? (Choose all that apply.)

A. Cecal volvulus

B. Umbilical hernia

C. Small bowel volvulus

D. Appendiceal mucocele

E. Paraesophageal hernia

2. What name best describes the type of obstruction that results in the marked dilation seen in this case?

A. High grade

B. Mechanical

C. Closed loop

D. Incarcerated

3. In what age group is this condition of mesenteric volvulus most commonly seen?

A. Prenatal

B. Infancy

C. Adolescence

D. Adulthood

4

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