Editor's quiz: GI snapshot
An unusual ultrasound diagnosis of right lower quadrant abdominal pain
Groene Hart Ziekenhuis, Gouda, The Netherlands
Correspondence to:
Ms A van Beurden, Agnietenstraat 11, 3512 XA, Utrecht, The Netherlands; annevanbeurden@hotmail.com
| The first 100% of the full text of this article appears below. |
CLINICAL PRESENTATION
A 29-year-old man of Moroccan origin, with a 3-year history of intermittent right lower quadrant pain, presented with a recent attack of right lower abdominal pain. The patient also reported nausea and vomiting. Earlier consultations had not provided a diagnosis.The patient had no history of previous surgery or serious illness. On physical examination the abdomen was tender to palpation without peritoneal signs. His temperature was 38.4°C. Laboratory examinations showed a C-reactive protein (CRP) of 28 mg/l and a white blood cell count of 10.4x109/l. Further blood tests were unremarkable. Abdominal ultrasound was performed (fig 1, Aloka SSD-5500).
Figure 1 Abdominal ultrsound of the 29-year-old patient.
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QUESTION
What abnormalities does the ultrasound image show? What is the likely diagnosis?
See page 10.1136/gut.2006.113233a for answers
Competing interests: None.
Patient consent: Informed consent was obtained for publication of the person’s details and figures in this report.
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ANSWER
Gut 2008 57: 524.[Extract] [Full Text] [PDF]
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