The Reply

I would like to thank Uylas and Gundogdu for their important and thoughtful comment on our case report.1 Patients with sigmoid volvulus should receive immediate treatment, and quick suspicion of this disease on visual examination and palpation may lead to good patient outcomes. Their comment highlighted that high-touch medicine may contribute to high-quality care rather than high-tech medicine, which relies too much on computed tomography or other imaging tests.2,3 I agree that von Wahl sign is a valuable physical finding and physicians should enhance their skills of physical examination.
Source: The American Journal of Medicine - Category: General Medicine Authors: Tags: Letter Source Type: research