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A 24-year-old woman presented with right lower quadrant pain of 6 hours duration associated with some nausea. There was no antecedent history of GI problems. There was 2+ right lower quadrant tenderness without guarding or rebound and no mass was palpable. CT scan was performed which showed a thickened terminal ileum with narrowed lumen (string sign). The appendix filled and appeared normal. A diagnosis of terminal ileitis (see Crohn's discussion) was made. The patient improved with bowel rest and was discharged to follow-up by gastroenterology.
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This page was last modified on 9/27/2004.
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