The Journal of Emergency Medicine, Vol. 54, No. 6, pp. e137–e139, 2018 2018 Elsevier Inc. All rights reserved. 0736-4679/$ - see front matter https://doi.org/10.1016/j.jemermed.2018.02.008 Visual Diagnosis in Emergency Medicine Geoffrey S. Kelly, MD, Benjamin Grandy, DO, and Julie Rice, MD Department of Emergency Medicine, The Johns Hopkins University School of Medicine, Baltimore, Maryland Reprint Address: Geoffrey S. Kelly, MD, Department of Emergency Medicine, The Johns Hopkins University School of Medicine, 1830, East Monument Street, Suite 6-100, Baltimore, MD 21287 CASE REPORT loops of colon and subtle gas lucencies overlying the left colon, consistent with pneumatosis (Figure 2). A 59-year-old woman with a history of a malignant A General Surgery consult was obtained in the ED and neoplasm of the tongue and right hemi-colectomy 4 years the patient was admitted to the hospital. She was managed previously due to cecal volvulus presented to our Emer- nonoperatively with broad-spectrum antibiotics (pipera- gency Department (ED) with several days of worsening cillin-tazobactam and metronidazole), serial abdominal left-sided abdominal and ﬂank pain. Her tumor had examinations, and bowel rest. Her leukocytosis, lactic been treated 2 years prior with composite resection and acidemia, and abdominal pain progressively improved chemoradiation, and she was not currently receiving
Journal of Emergency Medicine – Elsevier
Published: Jun 1, 2018
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