20-year-old woman with abdominal pain and vomiting

This x-ray was taken on a 20-year-old woman who had presented 4 hours earlier with epigastric pain and a soft abdomen. The symptoms improved with Maalox but she returned because of persistent vomiting.

View the image taken (Figure 1) and consider what your diagnosis would be.

Nahum Kovalski, BSc, MDCM

Clinical Researcher at TEREM Emergency Services