Imaging Case of the Week 15

It is 2 am and you are about to see a 19 year old female patient with abdominal pain. As you approach her cubicle, you can hear her screaming. You find the patient holding her abdomen and crying out in pain.

She is holding a vomit bag in her other hand and will not talk to you when you want to know more details about her presentation. You briefly examine her abdomen and it feels soft but slightly distended and generally tender. You are convinced that there is nothing serious going on.

However, you decide to obtain an x-ray of her abdomen, not expecting to find much in terms of findings. Here are her x-rays. What do they show?

Click to enlarge

Click to enlarge

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