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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 333:715-721 September 14, 1995 Number 11
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Case 28-1995— A 69-year-old woman with recurrent pain in the right lower quadrant of the abdomen and a radiographic abnormality of the cecum
J.G. Petros, and L.R. Zukerberg

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Presentation of Case

A 69-year-old woman was admitted to the hospital because of recurrent pain in the right lower abdominal quadrant and radiographic evidence of a cecal abnormality.

The patient had been well until 44 days earlier, when fever and pain in the right lower quadrant developed, without nausea, vomiting, or diarrhea. Two days later she was admitted to another hospital. The white-cell count was 16,600 per cubic millimeter; the bilirubin level was 2.4 mg per deciliter (41 µmol per liter); other tests of liver function were negative. A Gastrografin-enema examination showed that the colon was normal except for considerable spasm of the . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. James G. Petros's Diagnosis

Pathological Discussion

Anatomical Diagnosis

References



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