Distal intestinal obstruction syndrome: a mimic of acute appendicitis
- 1SVS Medical College, Mahabubnagar, India
- 2Department of Imaging, Dana Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts, USA
- Correspondence to Dr Sree Harsha Tirumani, Department of Imaging, Dana Farber Cancer Institute, Harvard Medical School, 450 Brookline Ave, Boston, MA 02215, USA; tirumani.sreeharsha{at}gmail.com
- Received 15 October 2012
- Revised 9 December 2012
- Accepted 24 December 2012
- Published Online First 23 January 2013
A 23-year-old female with a history of cystic fibrosis (CF) presented to the emergency room with abdominal pain (7/10), vomiting and constipation for 3 days. Clinical examination revealed severe dehydration and distended tympanitic abdomen with palpable tender right lower quadrant lump. Laboratory examination revealed leukocytosis, anaemia and metabolic acidosis. Plain abdominal radiograph revealed small …








