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  #1  
Old 08-18-2011
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Default divrticulitis

A 65-year-old woman presents with a necrotizing soft tissue infection of her perineum and gluteal region. Abdominal CT demonstrates diverticulitis with associated perforation but no intraperitoneal free air. At which location is her diverticulitis most likely to be found?
A. Transverse colon
B. Hepatic flexure of the colon
C. Splenic flexure of the colon
D. Proximal sigmoid colon
E. Distal sigmoid colon
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  #2  
Old 08-18-2011
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Quote:
Originally Posted by ricko335 View Post
A 65-year-old woman presents with a necrotizing soft tissue infection of her perineum and gluteal region. Abdominal CT demonstrates diverticulitis with associated perforation but no intraperitoneal free air. At which location is her diverticulitis most likely to be found?
A. Transverse colon
B. Hepatic flexure of the colon
C. Splenic flexure of the colon
D. Proximal sigmoid colon
E. Distal sigmoid colon
distal sigmoid colon
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  #3  
Old 08-18-2011
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E. Distal sigmoid colon
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  #4  
Old 08-18-2011
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Default E?

it think this question really want s to test our knowledge of intra and retroperitoneal structures.
my anatomy needs polishing but i will go with distal sigmoid colon
now i must go check it asap

Quote:
Originally Posted by ricko335 View Post
A 65-year-old woman presents with a necrotizing soft tissue infection of her perineum and gluteal region. Abdominal CT demonstrates diverticulitis with associated perforation but no intraperitoneal free air. At which location is her diverticulitis most likely to be found?
A. Transverse colon
B. Hepatic flexure of the colon
C. Splenic flexure of the colon
D. Proximal sigmoid colon
E. Distal sigmoid colon
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  #5  
Old 08-18-2011
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Default okay i have checked it up some

[
i have checked it up, theres a mnemonic for retroperitoneal strs i saw online, hope it is CORRECT
Retroperitoneal structures list SAD PUCKER:
Suprarenal glands
Aorta & IVC
Duodenum (except the first part)
Pancreas except the tail
Ureters
Colon (ascending & descending)
Kidneys
Esophagus (anterior & left covered)
Rectum


QUOTE=nativedoc;62595]it think this question really want s to test our knowledge of intra and retroperitoneal structures.
my anatomy needs polishing but i will go with distal sigmoid colon
now i must go check it asap[/QUOTE]
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Old 08-19-2011
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The correct answer is E.

Absence of intraperitoneal free air suggests perforation of a retroperitoneal structure. The location of her infection suggests a distal colonic structure. Only the distal sigmoid colon meets both of these criteria
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