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Previous Volume 353:508 August 4, 2005 Number 5 Next

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View larger version (71K): [in this window] [in a new window]   A 40-year-old, previously healthy man presented with a four-day history of pain in the left upper quadrant of the abdomen, accompanied by fatigue, fever, sweating, and sore throat. Physical examination revealed exudative pharyngitis, an enlarged lymph node in the left-sided posterior cervical region, and mild tenderness in the left upper quadrant with no hepatosplenomegaly. A computed tomographic scan of the patient's abdomen is shown here. What is the diagnosis? Editor's note: We invite our readers to submit their answers at www.nejm.org/mystery. We will publish the diagnosis in the Correspondence section of the September 29, 2005, issue and e-mail it to everyone who submits an answer. All answers must be received by August 18, 2005.

 

Karen M. Kim, M.D.
Tufts University School of Medicine
Boston, MA 02111

Richard I. Kopelman, M.D.
Tufts–New England Medical Center
Boston, MA 02111

Related Letters:

Medical Mystery: Abdominal Pain — The Answer
Kim K. M., Kopelman R. I.
Extract | Full Text | PDF  
N Engl J Med 2005; 353:1421-1422, Sep 29, 2005. Correspondence

This article has been cited by other articles:

• Kim, K. M., Kopelman, R. I. (2005). Medical mystery: abdominal pain--the answer.. NEJM 353: 1421-1422 [Full Text]