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George Hermann, MD; Ira S. Schwartz, MD; Gary Slater, MD

JAMA. 1986;255(7):939-940.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

A 69-year-old woman was initially seen with a mass in the right breast of four days' duration.

Clinical History

A 69-year-old woman was initially seen with constant abdominal pain in the epigastrium and right upper quadrant, with nausea and vomiting of three days' duration. On examination, moderate tenderness and guarding in the right upper quadrant of the abdomen were noted. A leukocytosis of 11,000/cu mm, with a mild shift to the left, was present. Findings from a sonogram and hepatobiliary scan were consistent with a diagnosis of acute cholecystitis for which intravenous (IV) antibiotic therapy was instituted. Results of radiological studies performed on the second hospital day showed a small-bowel obstruction. On surgical exploration, a gangrenous segment of the terminal ileum was resected and an end-to-end anastomosis was performed.

The resected bowel demonstrated hemorrhagic infarction with evidence of focal organizing venous thrombosis in the mesentery. The patient was initially started . . . [Full Text PDF of this Article]

Author Affiliations
From the Departments of Radiology (Dr Hermann), Pathology (Dr Schwartz), and Surgery (Dr Slater), Mount Sinai Hospital, Mount Sinai School of Medicine, City University of New York.

Footnotes
Reprint requests to Department of Radiology, Mount Sinai Medical Center, 1 Gustave L. Levy Place, New York, NY 10029 (Dr Hermann).

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