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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 334:849-854 March 28, 1996 Number 13
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Case 10-1996— A 36-year-old man with right-lower-quadrant pain of two years' duration
L.W. Ottinger, and M. Ozdemirli

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Presentation of Case

A 36-year-old man was admitted to the hospital because of pain in the right lower quadrant of the abdomen and the lumbar region.

There was a two-year history of intermittent pain in the right lower quadrant and right lumbar region, with "soreness" of the right testis, which occurred frequently during urination and less often on defecation. Twenty-six months before admission an evaluation elsewhere led to a diagnosis of prostatitis, but antibiotic therapy was ineffective.

Five months before admission the patient came to this hospital. He reported that his brother had hemochromatosis. The physical examination was normal except for tenderness in . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Leslie W. Ottinger's Diagnosis

Pathological Discussion

Anatomical Diagnoses

References




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