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Special Feature
June 2001

Image of the Month

Author Affiliations

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



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

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: Jeffrey_Nicholas@emory.org).