Case 41-1976

Presentation of CaseA 67-year-old woman was admitted to the hospital because of fever.She was well until seven months previously, when she entered another hospital because of the sudden onset of acute pain in the left upper abdominal quadrant accompanied by fever. The hematocrit was 32 per cent, and the fasting glucose 175 mg per 100 ml. An x-ray film of the chest showed an infiltrate at the base of the left lung. Oral cholecystographic and intravenous pyelographic studies were negative. A barium-enema examination disclosed diverticulosis of the descending colon. An upper gastrointestinal series revealed questionable enlargement of the . . .