A 49-year-old woman of Asian descent was seen in the Emergency Department with a 2-day history of progressive right lower quadrant pain. There was no history of fever, nausea or vomiting. Her medical history included systemic lupus erythematosus for the past 20 years and a remote cholecystectomy and hysterectomy.
On physical examination, there was tenderness and guarding in the right lower quadrant. Results of laboratory investigations and abdominal radiography were normal. Abdominal computed tomography with intravenous and oral contrast was performed (Fig. 1).
What is the diagnosis?
For the answer and a discussion see page 64.
Footnotes
Submissions to Radiology for the Surgeon, soft-tissue section, should be sent to the section editor: Dr. Lawrence A. Stein, Department of Radiology, Royal Victoria Hospital, 687 Pine Ave. W, Montréal QC H3A 1A1; lawrence.stein{at}muhc.mcgill.ca