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It is a mistake to think that that little room has elastic walls and can distend to any extent.
GASTRIC Dilatation and Volvulus (GDV) is also often referred to as bloat or gastric torsion and is a life-threatening condition of dogs in which their stomach twists and distends with gas torsion.
6) The oval shadow seen in the football sign is due to a large pneumoperitoneum, which distends the peritoneal cavity.