This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Related article  • Similar articles in this journal  Topic Collections  • Gastrointestinal Diseases  • Surgery, Other  • Alert me on articles by topic

Steven C. Cunningham, MD; Lena M. Napolitano, MD

Arch Surg. 2007;142(7):685.

	Since this article does not have an abstract, we have provided the first 128 words of the full text and any section headings.

INTRODUCTION

A 37-year-old man with Crohn disease, quiescent since an ileal resection and end ileostomy followed by elective ileostomy closure 10 years ago, came to the emergency department with a 2-month history of crampy abdominal pain in both lower quadrants associated with a weight loss of 11 kg, fevers and chills, mild nausea and vomiting, and diarrhea following a recent trip to Mexico. On examination, he had a palpable 5 x 7-cm mass in the right lower quadrant. Computed tomographic evaluation of the abdomen was performed (Figure).

Figure appears in full text version. Figure. Computed tomographic scan of the abdomen.

What Is the Diagnosis?

A. Double intussusceptions of the descending colon

B. Enterorectus fistula

C. Gastrointestinal stromal tumor of the intestine

D. Duplication cyst of the small intestine

Answer

Author Affiliations: Department of Surgery, University of Maryland Medical Center, and Department of Surgery, Veterans Affairs Maryland Healthcare System, Baltimore. Dr Napolitano is now with the Department of Surgery, University of Michigan Health System, Ann Arbor.

SECTION EDITOR: GRACE S. ROZYCKI, MD

RELATED ARTICLE

Image of the Month—Diagnosis
Arch Surg. 2007;142(7):686.
EXTRACT | FULL TEXT