Clinical Case Database / Category: Patient Management

Managing The Acute Abdomen

Publication details

Dr Néha Sihra, Mr Makhosini Mlotshwa
Foundation Years Journal, volume 9, issue 7, p.10 (123Doc Education, London, July 2015)


A patient presents to A&E twice in one week complaining of central abdominal pain. After re-presenting to A&E she was admitted under the gynaecology team where she went on to develop four quadrant peritonitis and underwent an emergency laparotomy. Was something missed on her first presentation?

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Dr Néha Sihra

Western Sussex NHS Trust, St Richard's Hospital
Spitalfield Lane, Chichester
West Sussex, PO19 6SE

Mr Makhosini Mlotshwa (Corresponding author)

Western Sussex NHS Trust, St Richard's Hospital
Spitalfield Lane, Chichester
West Sussex, PO19 6SE


1. Sigmoid and caecal volvulus: scott c thornton, MD; emedicine: medcape.
2. Diagnosis and treatment of caecal volvulus; E T Consorti, T H Liu; BMJ postgrad med J 2005;81:772-776.


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About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.