We report the case of a 50-year-old lady who presented to the emergency department complaining of a two-day history of colicky\nright upper quadrant (RUQ) pain, which radiated through to her back, associated with nausea, anorexia, and two episodes of\nvomiting that day. She was found to be tender in the RUQ. Her blood tests were notable for an elevated white cell count. Initial\nimpression was of acute cholecystitis. Ultrasound of her abdomen did not identify any features of acute cholecystitis; however, a\nlarge volume of free fluid was identified within the abdomen. CT of the abdomen/pelvis was obtained which identified dilated\nloops of small bowel, interloop ascites, and a whirl sign highly suggestive of midgut volvulus. During laparoscopy, the midgut\nvolvulus was found to have resolved. No cause for the volvulus could be identified, and the patient was discharged home well on\npostoperative day two.
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