| Abstrakt: |
HistoryA 34-year-old man complained of poorly localized periumbilical pain, on the night before admission, which moved to the right lower quadrant. The patient was nauseated but denied vomiting, diarrhea, or constipation. The morning of admission, on physical examination, the patient's abdomen was tender in the right lower quadrant. There was no guarding or rigidity, and bowel sounds were normal. The evening after admission, the patient stated that the pain had ceased; on physical examination, the abdomen was no longer tender. A complete blood cell count done the morning of admission showed a hemoglobin level of 14.7 g/dL, hematocrit reading of 43.1%, and 14,300 WBCs per cubic millimeter, with a slight shift to the left. On subsequent blood cell counts obtained that evening and the following morning, the WBC counts dropped to 12,200/cu mm and 10,100/cu mm, respectively. A plain film of the abdomen was normal. Figures 1 and 2 |
