Off and on for 4 months, my 33 year old son has had severe abdominal pain on his left side that radiates to the middle of his stomach. Now it up under his rib cage on that side too.He has seen several doctors one thought it was a stomach virus. Because he had Diverticulitis 4 years ago, two doctors just assumed it was the same. He has had two courses of Flagyl and Cipro. He had a CT scan which was inconclusive and blood tests which were fine few days ago. He is also nauseous and has diarrhea. He has missed 2 1/2 weeks of work. What is it?
Kidneys were fine and there was no abdominal aortic aneurysm found.
Clinical Indication: Evaluate for diverticulitis, left lower quadrant and left upper quadrant pain and tenderness with fevers. Findings: CT exam of the abdomen and pelvis is performed following the uneventful administration of 125 cc Isovue-370 IV contrast. No prior exam for comparison. Lower chest: Normal. Liver: Diffuse fibrotic infiltration of the liver. The liver is mildly enlarged measuring 19 cm in length. Bile ducts: Normal Gallbladder: Normal Pancreas: Normal Spleen: Normal Adrenal glands: There is a 1.7 cm right adrenal adenoma. Kidneys: Normal Ureters: Normal Bladder: Normal Abdominal aorta: Normal Retroperitoneum: Normal Peritoneum: Normal Mesentery: Normal Stomach: Normal Small bowel: Normal Colon: There is mild diverticulosis without CT evidence of diverticulitis. Appendix: Normal Extraperitoneal pelvis: Bilateral fat containing inguinal hernias. Prostate: Normal. Abdominal wall: There is a small fat containing periumbilical hernia. Bones: Normal