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A 48-year-old healthy woman presented with anorexia of 2 days' duration and abdominal pain in the right lower quadrant. Since appendicitis was suspected, she underwent a laparoscopic examination. An inflamed mass was seen near the cecum, and diverticulitis was diagnosed. She was treated with bowel rest, fluids, and antimicrobial agents. Two days later, her symptoms worsened, with increased pain in the right lower quadrant, abdominal distention, and decreased bowel sounds. Abdominal radiography showed dilatation of the small intestine, suggestive of obstruction, in the supine position (Panel A) and the upright position (Panel B). An axial computed tomographic scan of the . . . [Full Text of this Article] |
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