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- E J Lier, K Nielsen, and M J P M Govaert.
- Westfriesgasthuis, afd. Chirurgie, Hoorn.
AbstractA 35-year-old woman with a history of gastric bypass presented with acute abdominal pain, nausea and an urge to move. She showed normal vital signs. We found abdominal guarding and elevated ASAT, ALAT and LDH. A CT scan showed the whirl sign, caused by a mesenteric herniation through the Roux-en-Y gastric bypass.
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