Images in Clinical Medicine

Medical Mystery — Abdominal Pain

Karen M. Kim, M.D., and Richard I. Kopelman, M.D.

N Engl J Med 2005; 353:508August 4, 2005

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A 40-year-old, previously healthy man presented with a four-day history of pain in the left upper quadrant of the abdomen, accompanied by fatigue, fever, sweating, and sore throat. Physical examination revealed exudative pharyngitis, an enlarged lymph node in the left-sided posterior cervical region, and mild tenderness in the left upper quadrant with no hepatosplenomegaly. A computed tomographic scan of the patient's abdomen is shown here. What is the diagnosis?

Karen M. Kim, M.D.
Tufts University School of Medicine, Boston, MA 02111

Richard I. Kopelman, M.D.
Tufts–New England Medical Center, Boston, MA 02111

Citing Articles (1)

Citing Articles

1. 1

   Kim, Karen M., , Kopelman, Richard I., . (2005) Medical Mystery: Abdominal Pain — The Answer. New England Journal of Medicine 353:13, 1421-1422
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