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Previous Volume 350:1131-1138 March 11, 2004 Number 11 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 28-year-old man was admitted to the hospital because of abdominal pain and fever.

The patient had been well until 10 days earlier, when mild epigastric pain developed. Two days before admission, the abdominal pain, which was now localized in the right upper and right lower quadrants, became constant and severe, and nausea developed, without vomiting. He passed a stool on the day of admission and had chills without frank rigors. The patient had no history of abdominal surgery, diarrhea, hematochezia, melena, or contact with ill persons. He smoked cigarettes but did not drink alcohol. He was a native of . . . [Full Text of this Article]

Differential Diagnosis

Cystic Lesions of the Pancreas

Infectious Processes

            Bacterial, Fungal, or Viral Infection

            Mycobacterial Infection

Clinical Diagnosis

Dr. William R. Brugge's Diagnosis

Pathological Discussion

Anatomical Diagnosis

Addendum

Source Information

From the Gastroenterology Unit, Department of Medicine (W.R.B.), and the Departments of Radiology (P.R.M.) and Pathology (J.M.), Massachusetts General Hospital; and the Departments of Medicine (W.R.B.), Radiology (P.R.M.), and Pathology (J.M.), Harvard Medical School.

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