Case 42401

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Abstract
Presentation of CaseA sixty-four-year-old man entered the hospital because of abdominal tenderness.Two and a half years previously a right-sided colectomy, with an end-to-side ileotransverse colostomy, was performed because of a mucocele that replaced the appendix and extended from the lower pole of the right kidney to the pelvis. The lesion was broken into during the procedure. No other abnormalities were noted. The patient was well until one year later, when there were episodes of vague, fleeting abdominal pain in the right lower quadrant. Lower abdominal tenderness, especially on the left side, was noted at this time. A barium-enema . . .

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