21         SA JOURNAL OF RADIOLOGY • March 2010

Presentation

Abdominal imaging diagnosis

QUIZ CASE

S K Misser, MB ChB, FCRad (D)
Lake Smit and Partners, Durban

A 53-year-old woman, of otherwise excellent health, presented with acute abdominal pain, severe cramping and vomiting. Describe the relevant findings 
and provide the most appropriate clinical diagnosis. Please submit your response to shalendramisser@hotmail.com before the end of April. The winner 
will receive R1 000. A diagnosis will appear in the next issue of the SAJR.

          Fig. 1a. Erect abdominal X-ray.             Fig. 1b. PA chest X-ray.        Fig. 1c. US of right iliac fossa.

                                         Figs 2a and 2b. Axial post-IV contrast CT of abdomen.                2c. Coronal CT reformat.

2a 2b

Quiz Case February 2010.indd   21 2/26/10   9:49:47 AM