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Image of the Month—Quiz Case
Amir Behdad, MD;
Rodney Chan, MD;
Ali Tavakkolizadeh, MD;
David Jacobsen, MD
Author Affiliations: Department of Surgery, Brigham and Women's Hospital, Boston, Mass. Dr Behdad is now with the Department of Neurosurgery, Washington University in St Louis, St Louis, Mo.
Arch Surg. 2006;141:215.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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INTRODUCTION
A 54-year-old white man presented with abdominal pain, vomiting, and diarrhea. His symptoms had started 4 months earlier during a trip to Colorado, when he developed altitude sickness. Since then he had experienced intermittent episodes of nonbloody diarrhea alternating with constipation. A course of metronidazole hydrochloride did not affect the symptoms. On the day of admission, he presented with a severe episode of periumbilical pain and vomiting. His examination was notable for right lower-quadrant tenderness with a distended abdomen and a white blood cell count of 9320/µL.
A helical computed tomographic scan of the abdomen was obtained after oral contrast (Figure 1). The patient was taken to the operating room with a diagnosis of small-bowel obstruction secondary to ileoileal intussusception. Exploration of the abdomen revealed an intussusception of about 20 cm at the level of midileum. . . . [Full Text of this Article]
What Is the Diagnosis?
RELATED ARTICLE
Image of the Month—Diagnosis
Arch Surg. 2006;141(2):216.
EXTRACT
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