TY - JOUR T1 - IMage of the month—quiz case AU - Kim JY, Goetz L Y1 - 2007/01/01 N1 - 10.1001/archsurg.142.1.97 JO - Archives of Surgery SP - 97 EP - 97 VL - 142 IS - 1 N2 - 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). SN - 0004-0010 M3 - doi: 10.1001/archsurg.142.1.97 UR - http://dx.doi.org/10.1001/archsurg.142.1.97 ER -