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Previous Volume 342:1272-1278 April 27, 2000 Number 17 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Presentation of Case

A 26-year-old woman was admitted to the hospital because of bouts of abdominal pain with vomiting, diarrhea, and hematochezia.

She had received a diagnosis of the irritable bowel syndrome several years earlier. Her disorder was characterized by episodic abdominal pain in the left lower quadrant, without diarrhea, constipation, or other symptoms. Increased dietary intake of fiber and antispasmodic medication resulted in transient improvement. An abdominal and pelvic ultrasonographic examination, performed three and a half years before admission, showed no abnormalities. A barium-enema procedure, performed 12 days later, showed considerable spasm, predominantly in the right side of the transverse colon.

Nineteen . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. David L. Berger's Diagnosis

Pathological Discussion

Anatomical Diagnosis

References

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