Article Text

Download PDFPDF

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}

Statistics from


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.


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

See page 10.1136/gut.2006.113233a for answers

View Abstract


  • Competing interests: None.

  • Patient consent: Informed consent was obtained for publication of the person’s details and figures in this report.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Linked Articles

  • Editor’s quiz: GI snapshot
    BMJ Publishing Group Ltd and British Society of Gastroenterology