Editor's quiz: GI snapshot
Fever and an inguinal swelling
Mayo Clinic, Rochester, USA
Correspondence to:
Amindra S Arora, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA; arora.amindra@mayo.edu
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Clinical presentation
A 40 year old woman presented to the casualty complaining of pain and swelling in the left groin. She reported a 1 month long history of malaise, rapidly declining appetite, unintentional weight loss, intermittent fever with chills and pain in the left lower abdominal quadrant. On examination, she was febrile, tachypnoeic and tachycardic. A tender, fluctuant mass suggestive of an abscess was present in the left inguinal region. She was admitted to the hospital for abscess drainage and parenteral antibiotics. A skin lesion was present on the dorsum on the left hand (fig 1).
Figure 1 Photograph showing skin lesion on the dorsum of left hand.
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Question
What is going on here? Does the skin lesion affect the differential diagnosis?
See page 10.1136/gut.2006.110395a for answer.
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Answer
Gut 2008 57: 222.[Extract] [Full Text] [PDF]
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