 |
|
Image of the Month–Quiz Case
George A. Poultsides, MD;
Sabino Zani, MD;
G. Peter Bloom, MD;
Darren S. Tishler, MD
Arch Surg. 2009;144(3):287.
|
|
| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
|
|
|
INTRODUCTION
A 67-year-old woman came to the emergency department with worsening epigastric pain, bilious emesis, and obstipation during the previous 3 days. She denied having had similar symptoms in the past. She was otherwise healthy and had no history of previous abdominal operations. Physical examination revealed a soft, distended abdomen with mild epigastric tenderness. No abdominal wall hernias were noted. Laboratory studies showed leukocytosis (white blood cell count, 26.4/µL [to convert to x109/L, multiply by 0.001]). Abdominal radiographs were significant for gastric dilatation only. Findings from computed tomography of the abdomen were suggestive of an internal hernia (Figure 1). After intravenous fluid resuscitation and nasogastric tube decompression, the patient underwent laparoscopic exploration. An internal hernia was diagnosed and repaired laparoscopically (Figure 2).
Figure appears in full text version.
|
|
|
|
|
What Is the Diagnosis?
Author Affiliations: Department of Surgery, Hartford Hospital, University of Connecticut School of Medicine, Hartford.
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter
What's this?
RELATED ARTICLE
Image of the Month—Diagnosis
Arch Surg. 2009;144(3):288.
EXTRACT
| FULL TEXT
|
