UNASSIGNED: A 46-year-old @entity1 presented to two emergency departments within 12 hours because of acute @entity490 . Physical exam demonstrated tenderness and @entity19138 guarding. An ultrasound was interpreted as negative; she was discharged home. Later that evening, she was found dead. Postmortem exam revealed @entity548 of a segment of jejunum secondary to @entity3313 . Clinical clues suggesting presentations of small bowel @entity3313 are usually nonspecific; the diagnosis is typically confirmed at surgery. Her unremitting @entity490 , persistent @entity391 , and absolute neutrophilia were consistent with an acute process. The etiology of this @entity3313 was caused by an elastic fibrous band at the root of the jejunal mesentery. While congenital fibrous bands are rare in adults, this interpretation is favored for two reasons. First, the band was located 20   cm superior to postsurgical adhesions in the lower abdomen and pelvis. Second, there was no history of @entity130 or previous surgery involving the site of @entity3313 .

A Fatal Twist: Volvulus of the Small Intestine in a 46-Year-Old XXXX .

@entity1 :: ('9606', 'Species') :: ['woman'] @entity3313 :: ('MESH:D045822', 'Disease') :: ['volvulus'] @entity548 :: ('MESH:D006470', 'Disease') :: ['acute hemorrhagic necrosis'] @entity391 :: ('MESH:D014839', 'Disease') :: ['vomiting'] @entity19138 :: ('MESH:C537170', 'Disease') :: ['epigastric'] @entity490 :: ('MESH:D015746', 'Disease') :: ['abdominal pain'] @entity130 :: ('MESH:D014947', 'Disease') :: ['trauma']
@entity1 :: (9606,Species) :: ['Woman']
