c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Atypical Appendicitis, Diarrhea: 1

A D V E R T I S E M E N T

   
 

A 21-year-old man presented to the emergency room with a three-day history of increasing abdominal pain and diarrhea. On examination he had a rigid, flat abdomen with diffuse tenderness, guarding and rebound. Bowel sounds were absent. His temp. was 102 and his WBC count was 18K with a left shift.      

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Atypical Appendicitis, Diarrhea: 2

A D V E R T I S E M E N T

   
 

Upright abdominal X-ray shows dilated loops of small bowel with air-fluid levels. No free air was seen on upright chest X-ray.       

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Atypical Appendicitis, Diarrhea: 3

A D V E R T I S E M E N T

   
 

The patient was given a pre-op dose of broad-spectrum antibiotic and taken directly to the operating room for exploratory laparoscopy with a presumptive diagnosis of perforated appendicitis. The abdomen was entered through an umbilical Hasson port.       

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This page was last modified on 5/9/2005.