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Previous Volume 347:601-606 August 22, 2002 Number 8 Next

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Presentation of Case

An 87-year-old woman was admitted to the hospital because of abdominal pain, vomiting, bloody diarrhea, and an abdominal mass.

The patient had been in stable health until two days before admission, when crampy, increasingly severe lower abdominal pain developed, accompanied by nausea, vomiting, and diarrhea, with the intermittent passage of fresh blood. She had eaten little food since the onset of symptoms. She was admitted to the hospital.

There was a remote history of pemphigus vulgaris, which had resolved, and a six-year history of atrial fibrillation, for which she took digoxin, warfarin, hydrochlorothiazide, and metoprolol, with control of palpitations. She . . . [Full Text of this Article]

Differential Diagnosis

Abdominal Pain

Right-Lower-Quadrant Mass

            Ovarian Tumors

            Soft-Tissue Tumors

            Intestinal Tumors

            Colonic Tumors

            Appendiceal Tumors

            Volvulus and Intussusception

Clinical Diagnosis

Dr. David L. Berger's Diagnosis

Pathological Discussion

Anatomical Diagnosis

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