Left Lower Quadrant Pain — Suspected Diverticulitis
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منابع مشابه
Left lower-quadrant pain: guidelines from the American College of Radiology appropriateness criteria.
The differential diagnosis of left lower-quadrant pain includes gastrointestinal, gynecologic, and renal/ureteric pathology. Imaging is helpful in evaluating left lower-quadrant pain, and is generally guided by the clinical presentation. Acute sigmoid diverticulitis should be suspected when the clinical triad of left lower-quadrant pain, fever, and leukocytosis is present. The severity of disea...
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We report about a previously healthy 72-year-old woman, presented with 6 days of left lower quadrant abdominal pain and constipation. There was no report of fever, melena, hematochezia or change in appetite. The physical exam demonstrated a distended abdomen with palpable left lower quadrant pain, without guarding. CT showed images compatible with a sigmoid diverticulitis and a calcification of...
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We report an interesting case of ileal diverticulitis which posed a diagnostic challenge. A 75-year-old female presented to the emergency department with severe right lower quadrant pain for 3 days. The clinical history, examination and imaging suggested a diagnosis of acute appendicitis. The patient was taken to the operating room for an open appendectomy. The intra-operative findings demonstr...
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A 68-year-old man was seen in the emergency department with fever, rigors and left lower quadrant pain 2 days after being discharged from hospital for treatment of sigmoid diverticulitis. He was febrile (body temperature 40°C) and hypotensive (blood pressure 90/60 mm Hg). There was a firm, tender mass in the left lower quadrant. His leukocyte count was 19.7 × 109/L. Urgent CT revealed the unusu...
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AIM To evaluate systematically our nine-year experience in treating right-sided diverticulitis of the colon, and to explore its clinical and radiological relationship. METHODS The clinical and radiological data of 40 patients with colonic diverticulitis treated in Mackay Memorial Hospital, Taipei, from 1993 through 2002 were reviewed retrospectively. RESULTS The average age of the patients ...
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