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However, diagnosis can be challenging due to the clinical variation in presentation. The rarity of presentation in this case caused significant uncertainty necessitating a multidisciplinary approach for diagnostic clarity and safe patient care.<\/jats:p>","DOI":"10.1136\/bcr-2021-247442","type":"journal-article","created":{"date-parts":[[2022,3,28]],"date-time":"2022-03-28T13:45:12Z","timestamp":1648475112000},"page":"e247442","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Bryant\u2019s sign as a manifestation of a retroperitoneal paraduodenal bleed and subsequent small bowel obstruction"],"prefix":"10.1136","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4917-1284","authenticated-orcid":false,"given":"Amelia Leigh","family":"Davis","sequence":"first","affiliation":[{"name":"Surgical Acute Unit, Sir Charles Gairdner Hospital, Nedlands, Western Australia, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Talia","family":"Shepherd","sequence":"additional","affiliation":[{"name":"Upper Gastrointestinal Surgery, Sir Charles Gairdner Hospital, Nedlands, Western Australia, Australia"},{"name":"The University of Western Australia, Perth, Western Australia, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mike","family":"Cadogan","sequence":"additional","affiliation":[{"name":"Emergency Department, Sir Charles Gairdner Hospital, Nedlands, Western Australia, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan","family":"Foo","sequence":"additional","affiliation":[{"name":"Upper Gastrointestinal Surgery, Sir Charles Gairdner Hospital, Nedlands, Western Australia, Australia"},{"name":"Discipline of Surgery, Faculty of Medicine, Dentistry and Health Sciences, The University of Western Australia, Crawley, Western Australia, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2022,3,28]]},"reference":[{"unstructured":"JH. 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Suspected retroperitoneal bleed. ACR appropriateness Criteria\u00ae. American College of Radiology, 2021.","key":"2025082804412461000_15.3.e247442.9"},{"unstructured":"Government of Western Australia . Diagnostic Imaging Pathways - Gastrointestinal Bleeding (Acute), 2017. 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