Solve exciting clinical cases 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 72-year-old female complained of abdominal pain in the left lower quadrant. She was febrile (39°C) and had nausea.
The patient had a laparoscopic right hemicolectomy for a pT3N0 adenocarcinoma three years ago. The clinical examination did not reveal an acute abdomen. Laboratory examination C reactive protein 116 mg/L (reference value:<10 mg/L) A coronal view of an abdominal CT scan (Cover Image 2) showed the following Known cholecystolithiasis An unsharp delineated hypodense mass in the mesentery of the small intestine, infiltrating the surrounding fat Many pathologically enlarged lymph nodes around the mass No signs of distant metastases in liver or lungs No signs of intraabdominal abscess…
