Author: Axel Küttner, MD, Erlangen, Germany
Body Region: Abdomen and Pelvis
1. Patient presentation
- A 69-year-old woman was treated in our institution for recurrent squamous cell carcinoma of the
oropharynx. - During the hospital stay, she complained of worsening abdominal discomfort and absence of bowel
movements for 5 days. - Physical examination and laboratory testing revealed a slightly tender abdomen, subfebrile
temperatures, elevated C-reactive protein, leukocytosis and minimally elevated lactate. - Abdominal ultrasound and plain film radiography revealed an ileus and right basal pneumonia.
- A CT examination was ordered.