TY  - JOUR
T1  - IMage of the month—case
AU  - Ivatury RR
Y1  - 2003/06/01
N1  - 10.1001/archsurg.138.6.681
JO  - Archives of Surgery
SP  - 681
EP  - 681
VL  - 138
IS  - 6
N2  - 
A 20-YEAR-OLD, emaciated man came to the emergency department with recurrent right lower quadrant pain and diarrhea. The patient had been having similar episodes for the past 5 years and was seen in several hospitals. He had recently been referred to a psychiatrist for these symptoms. A physical examination revealed a thin, cachectic individual, underdeveloped for his age, with tenderness in the right lower quadrant without peritoneal signs. A vague "fullness" was appreciated in the right upper quadrant. Laboratory results were within normal limits. A computed tomographic scan was obtained (Figure 1).

SN  - 0004-0010
M3  - doi: 10.1001/archsurg.138.6.681
UR  - http://dx.doi.org/10.1001/archsurg.138.6.681
ER  -