[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.147.196.37. Please contact the publisher to request reinstatement.
Sign In
Individual Sign In
Create an Account
Institutional Sign In
OpenAthens Shibboleth
[Skip to Content Landing]
Citations 0
Special Feature
February 2003

Image of the Month—Quiz Case

Author Affiliations

From the Southern Medical Clinic, San Fernando, Trinidad and Tobago.

 

GRACE S.ROZYCKIMD

Arch Surg. 2003;138(2):225. doi:10.1001/archsurg.138.2.225

A 26-YEAR-OLD woman was admitted with a 1-week history of progressively worsening generalized abdominal pain associated with nausea and vomiting. She had multiple previous admissions for similar episodes of abdominal pain since she was 15 years old. These episodes were less severe and resolved spontaneously without a diagnosis. Her medical and social histories were unremarkable. Vital signs on admission were within reference ranges, and her abdominal examination showed diffuse tenderness but no peritonitis. A plain abdominal radiograph (Figure 1) and a single-contrast barium enema radiograph (Figure 2) are shown.

What Is the Diagnosis?

A. Sigmoid volvulus

B. Diverticulitis

C. Internal herniation of the transverse colon

D. Intussusception

Back to top
Article Information

Corresponding author and reprints: Adrian A. Indar, FRCS, Section of Surgery, Queens Medical Centre, Nottingham NG7 2UH, England (e-mail: adrian.indar@nottingham.ac.uk).

Accepted for publication October 5, 2002.

×