Soft-tissue case 44. presentation

Radiology for the Surgeon Chirurgie et radiologie

A 28-year-old man was seen in the emergency department with a 5-day history of left lower quadrant abdominal pain, which he described as severe and well localized without radiation. The pain was aggravated by movement and caused him to walk bent over. He denied experiencing nausea, vomiting, anorexia or a change in bowel habit. His medical history was significant for a left ureteric stone and sarcoidosis. He had not been on any medication.

On physical examination he was afebrile and had point tenderness in the left lower quadrant with rebound localizing to the same area. Bowel sounds were present, and no masses were …