Image of the Month—Quiz Case
Jae Y. Kim, MD;
Laura Goetz, MD
Arch Surg. 2007;142(1):97.
INTRODUCTION
An 87-year-old woman had acute onset of lower abdominal pain following a painful bowel movement. She had a history of diverticulitis and chronic constipation. Her medical and surgical history also included a remote history of renal cell cancer status after left nephrectomy, a hysterectomy, and steroid-dependent arthritis. On physical examination, she was afebrile and normotensive, but in moderate distress with lower abdominal tenderness and guarding. Abdominal computed tomography was performed (Figure 1 and Figure 2).
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Figure 1. Computed tomographic scan of the abdomen.
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Figure 2. Computed tomographic scan of the pelvis.
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What Is the Diagnosis?
A. Perforated diverticulitis
B. Perforated peptic ulcer
C. Perforated stercoral ulcer
D. Perforated appendicitis
Answer
Author Affiliations: Division of Colorectal Surgery, Department of Surgery, University of California at San Francisco.
SECTION EDITOR: GRACE S. ROZYCKI, MD
RELATED ARTICLE
Image of the Month—Diagnosis
Arch Surg. 2007;142(1):98.
EXTRACT
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