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OpenAthens Shibboleth
Special Feature
June 2001

Image of the Month

Author Affiliations

From the Department of Surgery, Emory University School of Medicine, Atlanta, Ga.




Copyright 2001 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2001

Arch Surg. 2001;136(6):705-706. doi:

A HEALTHY 27-year-old man had a 3-day history of left lower quadrant abdominal pain, anorexia, nausea, vomiting, and diarrhea. Physical examination results were remarkable for a temperature of 39°C with rebound tenderness and guarding in the left lower quadrant. Laboratory values were significant for a white blood cell count of 12.3 × 109/L, and abdominal x-rays showed a gas pattern consistent with an ileus. A computed tomographic scan of the abdomen is shown in Figure 1.

What Is the Diagnosis?

A. Small-bowel intussusception

B. Acute left-sided appendicitis

C. Ulcerative colitis

D. Crohn disease

E. Acute diverticulitis

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Article Information

Corresponding author and reprints: Jeffrey M. Nicholas, MD, MS, Department of Surgery, Room 308, Glenn Memorial Bldg, 69 Butler St SE, Atlanta, GA 30303 (e-mail: