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Case 99: Fever and abdominal pain

This 34 year old alcoholic man presented with 2 weeks of left sided abdominal pain, fever and anorexia. On examination he has tenderness and a mass in the left iliac fossa

Case 99: Fever and abdominal pain

1. What does the CT show?

2. What is the likely underlying diagnosis and differentials?

3. Outline your management of this man?