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A 23-year-old man with CF presents to the ED with a 3-day history of colicky periumbilical and right iliac fossa pain. He feels bloated, is anorexic and nauseous and has vomited twice.
List three conditions in your differential diagnoses.
In which of these cases is an immediate surgical review warranted?
His abdominal x-ray is shown. Click the image to see a larger version.
What radiological features do you see?