Elderly Man With Abdominal Pain and Shortness of Breath Amy M. ONeil, MD, Matthew D. Sztajnkrycer, MD, PhD  Annals of Emergency Medicine  Volume 67, Issue 1, (January 2016) DOI: 10.1016/j.annemergmed.2015.05.001 Copyright © 2015 American College of Emergency Physicians Terms and Conditions

Figure 1 Portable chest radiograph demonstrating cardiomegaly and mild pulmonary vascular congestion. Markedly dilated colon is apparent in the upper abdomen. Annals of Emergency Medicine 2016 67, DOI: (10.1016/j.annemergmed.2015.05.001) Copyright © 2015 American College of Emergency Physicians Terms and Conditions

Figure 2 Portable abdominal radiograph demonstrating massively dilated loops of colon in the midabdomen, with an appearance suggestive of cecal volvulus. Annals of Emergency Medicine 2016 67, DOI: (10.1016/j.annemergmed.2015.05.001) Copyright © 2015 American College of Emergency Physicians Terms and Conditions

Figure 3 Axial CT revealing abdominal distention. Annals of Emergency Medicine 2016 67, DOI: (10.1016/j.annemergmed.2015.05.001) Copyright © 2015 American College of Emergency Physicians Terms and Conditions