TY  - JOUR
T1  - IMage of the month—quiz case
AU  - Jarry J, Tine I, Ogougbemy M, Diouf M
Y1  - 2011/08/01
N1  - 10.1001/archsurg.2011.183-a
JO  - Archives of Surgery
SP  - 987
EP  - 987
VL  - 146
IS  - 8
N2  - 
A 12-year-old African girl presented with abdominal pain and intermittent fever of 3 weeks' duration. She had an unremarkable medical history. The pain had become more severe over the last 2 days and was associated with intestinal obstruction. The patient's temperature was 38.7°C, and her pulse was 113 beats/min. The abdomen was distended, with generalized tenderness. Bowel sounds were inaudible. Her white blood cell count was 8000/μL (to convert to ×109/L, multiply by 0.001). Abdominal radiography showed intestinal occlusion with air under the diaphragm. A purulent peritonitis resulting from a punched-out perforation located on the antimesenteric border of the terminal ileum was visualized at laparotomy (Figure 1 and Figure 2).

SN  - 0004-0010
M3  - doi: 10.1001/archsurg.2011.183-a
UR  - http://dx.doi.org/10.1001/archsurg.2011.183-a
ER  -