Read the introduction , then click on the image. The pain began six months earlier, and became progressively worse starting one week prior to admission. The patient has a history of chronic obstipation and heavy smoking. She denies change in bowel habits or consistency of stools.
Physical examination reveals a painful, indistinct hypogastric mass.
Cullen's and Turner's signs are negative. Distal pulses are present and normal. A CT scan of the abdomen with intravenous and oral contrast is ordered. Click on the image to identify the source of this patient's abdominal pain. All material on this website is protected by copyright.