A 69-year-old woman with recurrent pain in the right lower quadrant of the abdomen and a radiographic abnormality of the cecum

Article Abstract:

A 69-year-old woman was admitted to the hospital with abdominal pain and diarrhea. The patient had had her appendix and uterus removed 26 years earlier. A Gastrografin-enema showed an impression on the part of the large intestine called the cecum. A CT scan indicated inflammation and thickening of the wall of the cecum. The patient received antibiotics and had her cecum surgically removed. The cecum had an outward bulging pouch known as a diverticulum. The wall of this structure was fibrous and inflamed; it contained tissue from the inner surface of the intestine. The final diagnosis was an acquired diverticulum that may have resulted from the previous appendectomy.

Diverticulitis, Diverticular disease

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A 65-year-old man with recurrent abdominal pain for five years

Article Abstract:

A 65-year-old man was admitted to a hospital with severe abdominal pain, bloody stools and a history of diverticulitis and benign intestinal polyps. A CT scan of his abdomen showed a mass in his small intestine. Intestinal biopsy revealed a Giardia infection and multiple polyps. Surgery was performed to remove a section of his small intestine. Microscopic examination revealed that he had lymphoma. He was treated with chemotherapy and went into remission. It is not clear whether the lymphoma was caused by the Giardia infection.

Diagnosis, Lymphomas, Giardiasis

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Case 2-2006: A 31-year-old, HIV-positive man with rectal pain

Article Abstract:

A 31-year-old man with acquired immunodeficiency syndrome (AIDS) was evaluated at the infectious disease clinic of the hospital as a result of rectal pain in the mucopurulent rectal discharge. The patient, who had regular anal-receptive intercourse without condoms with usual partner, first noticed the rectal discharge, pain on defecation and blood in stools four days before the evaluation.

New England States, Health aspects, HIV infection, HIV infections, HIV patients, New England, Colorectal diseases, Rectal diseases

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