RT Journal
A1 Molaro R, Morpurgo E
T1 IMage of the month—quiz case
JF Archives of Surgery
JO Archives of Surgery
YR 2011
FD December 1
VO 146
IS 12
SP 1449
OP 1449
DO 10.1001/archsurg.146.12.1449
UL http://dx.doi.org/10.1001/archsurg.146.12.1449
AB 
On physical examination, the patient had a temperature of 39.6°C, and her abdomen was tender to deep palpation, with mild resistance. There was no rebound tenderness, and her bowel sounds were barely audible. A digital rectal examination revealed stools without blood.