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Have you seen such a case before?

Jose Luis Danguilan jdanguilan at gmail.com
Tue Feb 10 12:44:07 GMT 2009


Ruptured diverticulitis?

Jose Luis J. Danguilan, MD



On 2/10/09, rm khattar <dr_rm_khattar at yahoo.co.in> wrote:
>
> A 64 years old non diadetic, nonhypertensive woman presents with 12 hours
> history of pain abdomen and distenton.She  is haemodynamically stable,but
> her abdomen is grossly distended and tender and silent.All her routine
> investigations are normal except for raised counts.Erect abdomen reveals
> grossly distended stomach but no free gas under Right dome.A CECT reveals
> free intraperitoneal air.The patient has obviously perforation of hollow
> viscus.What is  interesting about the case is the site ,size and pathology
> of perf. Any past experiences,intuitions,guesses.I will let you know what
> did i find in my next post.
> R.M.Khattar Delhi.
>
>
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