A 21 -year-old woman presented with abdominal pain, intermittent vomiting, and abdominal distension 15 days in duration. The patient had no abdominal surgical history. Radiograph of the abdomen showed gas-fluid levels in intestinal loops, and incomplete intestinal obstruction was diagnosed in a local hospital. A nasogastric tube was inserted, intravenous fluid was replaced, and she was told to fast. Symptomatic therapy did not bring any improvement, and the patient was referred to our hospital for further maagement. Physical examination revealed upper abdominal tenderness and positive shifting dullness. Liver and spleen were not palpable.
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