PMC6032975_01
(a) Axial, (b) coronal, and (c) sagittal images from the patient's 2015 CT abdomen and pelvis showing no colon anterior to the liver.
CRIM2018-3515370.001.jpg
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fig1
She went to an ED for these symptoms in both 2013 and 2015, and in both times, the evaluations, including a CT abdomen, were negative (Figure 1).
(a) Axial, (b) coronal, and (c) sagittal images from the patient's 2017 CT abdomen and pelvis demonstrating colon anterior to the liver.
CRIM2018-3515370.002.jpg
PMC6032975_01_CRIM2018-3515370.002.jpg
fig2
A CT at this time showed colon interposed between the liver and the abdominal wall along with some mild periappendiceal stranding (Figure 2).