Recurrent abdomen pain and tympanic right upper quadrant

ABSTRACT

A young lady presented with recurrent abdominal distention and pain. Over the past few years, she had been admitted several times with similar complaints. Each time the symptoms settled with conservative management. Abdominal radiography (Panel) on admission is shown above. What does the radiograph show and what is the syndrome ? Answer refer to page 187 Images of Interest Brunei Int Med J. 2011; 7 (3) 165 Correspondence