RT Journal
A1 Kim JY, Goetz L
T1 IMage of the month—quiz case
JF Archives of Surgery
JO Archives of Surgery
YR 2007
FD January 1
VO 142
IS 1
SP 97
OP 97
DO 10.1001/archsurg.142.1.97
UL http://dx.doi.org/10.1001/archsurg.142.1.97
AB 
An 87-year-old woman had acute onset of lower abdominal pain following a painful bowel movement. She had a history of diverticulitis and chronic constipation. Her medical and surgical history also included a remote history of renal cell cancer status after left nephrectomy, a hysterectomy, and steroid-dependent arthritis. On physical examination, she was afebrile and normotensive, but in moderate distress with lower abdominal tenderness and guarding. Abdominal computed tomography was performed (Figure 1and Figure 2).