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Image of the Month—Quiz Case
Abed Khalaileh, MD;
Muhammad Adileh, MD;
Avraham Schlager, MD;
Samir Abu-Gazala, MD;
Yoav Mintz, MD;
Avraham I. Rivkind, MD;
Andrei Keidar, MD
Arch Surg. 2009;144(10):975. doi:10.1001/archsurg.2009.171-a
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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 70-year-old man with no surgical history presented to the emergency department with right lower quadrant pain that began acutely 1 day prior. The pain was described as colicky and progressive in nature and radiated to the midabdomen and back. The patient denied any accompanying subjective fever, nausea, or vomiting.
Physical examination demonstrated moderate tenderness over the right lumbar region. The abdomen was soft and not tender, with minimal distension. The remainder of the physical examination and results of basic laboratory tests were unremarkable. A computed tomographic scan of the abdomen and pelvis with oral and intravenous contrast demonstrated dilated loops of small bowel indicative of small-bowel obstruction, with no contrast seen passing through to the colon (Figure 1). Following computed tomography, fluid resuscitation and supportive . . . [Full Text of this Article]
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Author Affiliations: Department of Surgery, Hadassah Hebrew Medical Center, Jerusalem, Israel (Drs Khalaileh, Adileh, Abu-Gazala, Mintz, Rivkind, and Keidar); and the Department of Surgery, New York University Hospital, New York, New York (Dr Schlager).
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Image of the Month—Diagnosis
Arch Surg. 2009;144(10):976.
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