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A 52-year-old women presented to our emergency department with nausea, vomiting and acute, progressive abdominal pain in the entire abdomen radiating to the back. Her history reported a congenital cloaca, for which she underwent reconstructive surgery twice during childhood. On physical examination normal bowel sounds were heard and no signs of peritoneal irritation were present. A contrast-enhanced computed tomography showed dilated small intestinal loops in the left upper quadrant and a bowel obstruction due to a non-rotation of the midgut.
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