A 63-year-old female presented with complaints of progressively worsening abdominal pain distension for three days. She also had a fever and altered mentation. Her medical history was significant for hypertension, diabetes mellitus, hyperlipidemia, and end-stage renal disease. In addition, she had two episodes of peritonitis in the past. Her surgical history was significant for appendectomy, cholecystectomy, and tubal ligation, and she denied undergoing any recent abdominal procedure.
The image shows a CT scan of the abdomen. What can be the most likely diagnosis for this patient? (Answer is posted in the comment section below!) *This Case Challenge is from the Editorial Team of Docplexus and is meant for educational purposes only. Source: Case Reports in Nephrology
