Solve this exciting clinical case specific to your field of interest via Docplexus’ Clinical Case Challenge. Join your fellow doctors to discuss and answer today’s challenge! Case presentation A woman in her 50s presented with a sudden onset of right lower quadrant abdominal pain with vomiting and melena. The patient had a history of the polycystic ovarian syndrome, diabetes, stroke, and coronary artery disease. She had undergone coronary artery bypass graft surgery six years ago. On physical examination, the abdomen was found to be tender to palpation with rebound and voluntary guarding.
The blood pressure was reported as 185/85 mmHg. The laboratory examination findings were unremarkable. ECG showed a normal sinus rhythm. CT scan of the abdomen and pelvis with oral and IV contrast enhancement findings are shown in Figures 1 and 2. Source: JAMA Surgery
