TY  - JOUR
T1  - IMage of the month—quiz case
AU  - McKee TI
Y1  - 2012/02/01
N1  - 10.1001/archsurg.2011.642
JO  - Archives of Surgery
SP  - 195
EP  - 195
VL  - 147
IS  - 2
N2  - 
A 71-year-old woman had a sudden onset of what she described as a “tummy ache” at 9 PM the evening prior to admission to the hospital. The midabdominal discomfort progressively worsened to severe abdominal pain with associated back pain. She had vomiting without hematemesis. There was no history of hematochezia or melena, and she had a normal bowel movement the previous day. She was receiving treatment with warfarin sodium for a history of atrial fibrillation. Formerly weighing 144.0 kg, she attributed a weight loss of 60.8 kg over 8 years to exercise and a diet plan that included a lot of fiber. Although she had diverticulosis noted on a colonoscopy a few years ago, she had never had an abdominal operation. Her family history included coronary artery disease and cerebrovascular accident.

SN  - 0004-0010
M3  - doi: 10.1001/archsurg.2011.642
UR  - http://dx.doi.org/10.1001/archsurg.2011.642
ER  -