Complicated Cases in GI

Anthony Kalloo, MD; Jonathan M. Buscaglia, MD

Chapter 23: Difficult-To-Diagnose Cecal Mass (continued)

Jonathan Buscaglia, MD

A 45-year-old man presented to the emergency room complaining of 3 weeks of severe, intermittent abdominal pain. The pain was described as a sharp, stabbing-like sensation in his right lower quadrant and it was exacerbated while lying in the right lateral decubitus position. The frequency and intensity of the pain had progressed over the last few days, which prompted him to visit the emergency room. He reported chronic constipation related to his methadone use but noted new-onset diarrhea 2 days prior to presenting. There was no history of hematochezia or melenic stool. He denied any nausea…
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