Editor's quiz: GI snapshot
A not so uncommon cause of abdominal pain
1 Department of Gastroenterology, The Royal Cornwall Hospital, Truro, Cornwall, UK
2 Department of Radiology, The Royal Cornwall Hospital, Truro, Cornwall, UK
Correspondence to:
Dr H Fellows, Gastroenterology Registrar, The Royal Cornwall Hospital, Truro, Cornwall TR1 3LJ, UK; hfellows@hotmail.com
| The first 100% of the full text of this article appears below. |
CLINICAL PRESENTATION
A 53-year-old male hypertensive smoker presented with a 1-day history of sudden onset left iliac fossa pain associated with nausea. He had no other relevant medical or surgical history and no prior episodes of abdominal pain. Examination revealed local tenderness and guarding in the left iliac fossa. He was afebrile. Laboratory studies were unremarkable, except the white cell count, which was raised at 12.6x109/litre (normal range, 4–11x109/litre). A computed tomography scan was performed, which is shown in fig 1.
Figure 1 Patient's abdominal computed tomography scan.
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QUESTIONS
What is the diagnosis and what is the treatment?
See page 956 for the answer
Competing interests: None.
Patient consent: Written consent was obtained for the publication of the details of this case.
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ANSWER
Gut 2008 57: 956.[Extract] [Full Text] [PDF]
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