Abdominal pain in a young man--a rare condition to consider.

摘要

Case history A 27-year-old previously fit and healthy non-smoking man presented with a 6-week history of abdominal pain, nausea, vomiting, weight loss and recent onset of a fever, which he attributed to the consumption of a chicken kebab. There was no other relevant history of familial conditions or trauma. Initial clinical examination was unremarkable. He had leukocytosis and raised inflammatory markers. Despite no positive blood or stool culture diagnosis, he was given intravenous antibiotic and rehydration treatment. However, no significant clinical improvement was observed and, on abdominal examination, a pulsatile mass was felt. A CT scan of the abdomen was performed after intravenous and oral contrast (Figures 1-3). What is your diagnosis?