Case Files Surgery, Fourth Edition (LANGE Case Files) by Toy Eugene & Liu Terrence & Campbell Andre

Author:Toy, Eugene & Liu, Terrence & Campbell, Andre [Toy, Eugene]
Language: eng
Format: epub
Publisher: McGraw-Hill
Published: 2012-06-19T00:00:00+00:00

CASE 28

A 62-year-old man presents to the emergency department with a 1-week history of left lower quadrant abdominal pain. He complains of increased pain, nausea, and fever. He has had one prior episodes of similar left lower quadrant pain that resolved with antibiotic treatment alone. He has no cardiac or pulmonary risk factors. On examination, his blood pressure is 140/80 mm Hg, heart rate 110 beats/min, and temperature 38.6°C (101.5°F). His abdomen is soft and mildly distended, with left lower quadrant tenderness to palpation. He does not have evidence of generalized peritonitis. His white blood cell (WBC) count is 20,000/mm3.

What is the most likely diagnosis?

How would you confirm the diagnosis?

What are the complications associated with this disease process?

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