TY  - JOUR
T1  - IMage of the month—quiz case
AU  - O' Donoghue GT, Winter D, Deasy J
Y1  - 2003/12/01
N1  - 10.1001/archsurg.138.12.1391
JO  - Archives of Surgery
SP  - 1391
EP  - 1391
VL  - 138
IS  - 12
N2  - 
AN 87-YEAR-OLD man with a known history of cholelithiasis was seen in the emergency department for acute onset of abdominal pain, vomiting, and diarrhea. On examination, he was afebrile, had a distended abdomen, and was tender to palpation in the left iliac fossa. Bowel sounds were active. The abdominal computed tomographic scan is shown in Figure 1. Following unsuccessful attempts at endoscopic fragmentation/extraction, a small left iliac fossa muscle-splitting incision was performed, the stone removed (Figure 2), and a colostomy formed.

SN  - 0004-0010
M3  - doi: 10.1001/archsurg.138.12.1391
UR  - http://dx.doi.org/10.1001/archsurg.138.12.1391
ER  -