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Philipp Kirchhoff, MD; Carsten T. Viehl, MD; Oleg Heizmann, MD; Daniel Oertli, MD; Silke Potthast, MD

Arch Surg. 2009;144(6):587.

	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 40-year-old woman presented to the emergency department with increasingly sharp abdominal pain in the left lower quadrant of 10 days' duration. Bowel movements were normal, the patient was afebrile, and blood test results, including a white blood cell count, were unremarkable. The physical examination showed localized pressure and percussion pain in the left lower abdomen. The patient reported that the same pain had appeared sporadically over the past 3 years, approximately twice a month and mostly during the night. She had been examined several times by a gynecologist without any pathologic findings. In addition, she had undergone a colonoscopy that revealed no abnormal findings.

In our emergency department, multislice computed tomography (CT) of the abdomen was performed after oral and intravenous administration of contrast agents. The CT scan showed thickening of the peritoneum . . . [Full Text of this Article]

What Is the Diagnosis?

Authors Affiliations: Departments of Surgery (Drs Kirchhoff, Viehl, Heizmann, and Oertli) and Radiology (Dr Potthast) University of Basel, Basel Switzerland.

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Arch Surg. 2009;144(6):588.
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