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Originally Posted by Ignats75
I wouldn't make it flagrant unless the foul does cause injury because it was not violent or savage. {4-19-4} However, some officials would use the next sentence in that citation: A technical non-contact foul which displays unacceptable behavior.
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I'm just going to reiterate (iterate?) what JR said. The rule justification for ejecting the player is not in 4-19, as you have mentioned. It's in the definition of fighting (4-18), which partially defines fighting as "the attempt to strike" an opponent with the arm(s) -- which of course, includes the elbow. So intentionally throwing the elbow in an attempt to hit an opponent is fighting, and therefore flagrant, and therefore a DQ.