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An unusual ultrasound diagnosis of right lower quadrant abdominal pain
  1. A van Beurden,
  2. R T Ottow,
  3. M C P Van Oerle
  1. Groene Hart Ziekenhuis, Gouda, The Netherlands
  1. Ms A van Beurden, Agnietenstraat 11, 3512 XA, Utrecht, The Netherlands; annevanbeurden{at}hotmail.com

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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 10.4×109/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.

QUESTION

What abnormalities does the ultrasound image show? What is the likely diagnosis?

See page 10.1136/gut.2006.113233a for answers

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Footnotes

  • 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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