A 72-year-old woman presented with pain in the left iliac fossa and no bowel disturbance. She had medical history of gastro-oesophageal reflux and mild dementia. On examination she was found tender in the left iliac fossa. The next day she had 4 episodes of watery diarrhoea and complained crampy abdominal pain. Examination On examination she had fever of 38.5°C and mild diffuse abdominal tenderness.
She has prominent bowel sounds. Investigations Hemoglobin 14.3 g/dL Mean corpuscular volume 87 fL WBC Count 16.1 x 10 9 /L Platelets 324 x 10 9 /L Sodium 133 mmol/L Potassium 3.1 mmol/L Urea 9.2 mmol/L Creatinine 189 mmol/L What is the likely diagnosis? Click here for answer *This image-based case is from Docplexus Editorial Team for educative purposes only. Source: 100 Cases in Clinical Medicine
