NEJM临床医学影像旋转征胃Ro

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ImagesinClinicalMedicineSwirlSign—IntestinalVolvulusafterRoux-en-YGastricBypassNEnglJMed;:e3DOI:10./NEJMicm

A56-year-oldmanpresentedafteradayandahalfofmidabdominalpain,nausea,andbiliousemesis.ThepatienthadundergoneRoux-en-Ygastricbypass7yearsearlier.Duringthephysicalexamination,tachycardiaandtachypneawerenoted.Theabdominalexaminationshowedadistended,tympanicabdomenwithseveregeneralizedabdominaltenderness,involuntaryguarding,andreboundtendernessconsistentwithperitonitis.Radiography(PanelA)and







































白殿疯早期症状
北京有没有专治白癜风的医院



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