An unusual finding for left iliac fossa pain

Submitted by : Georgiana Zamfir¹, Peter Cantin², ¹Peninsula Radiology Academy/ ²Derriford Hospital, Plymouth

Presentation

A 61-year-old female patient was referred for an abdominal ultrasound to investigate 3 day history of left iliac fossa pain. On further assessment, the pain was described as being intermittent and exacerbated by movement. There were no urinary symptoms and no change in bowel habits. The patient was otherwise fit and well and had a previous cholecystectomy.

Representative sonographic images of the abdominal scan are shown below:

	Figure 1. Longitudinal image of the spleen
	Figure 2. Longitudinal image of the left kidney
	Figure 3. Transverse image through the left upper quadrant

Figure 4. Targeted longitudinal sections over the LIF

What is the most likely diagnosis and differential diagnosis?

To see the diagnosis and differential diagnosis, please click here