Have you seen such a case before?

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ruptured diverticulum was already guessed, but I had a similar case years  
ago that involved a large gall stone eroding into the small intestine. Very high 
 mortality in any age, but especially in the over 60 set.
 
ck
Charles S. Krin, DO
 
 
In a message dated 2/10/2009 06:36:05 Central Standard Time,  
dr_rm_khattar at yahoo.co.in writes:

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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