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  Vol. 133 No. 11, November 2007 TABLE OF CONTENTS
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  •  Online Features
  Clinical Problem Solving: Radiology
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Radiology Quiz Case 1

Charbel Rameh, MD; Marwan Youssef, MD; Sami Husseini, MD; Abdul-latif Hamdan, MD
American University of Beirut Medical Center, Beirut, Lebanon

Arch Otolaryngol Head Neck Surg. 2007;133(11):1162.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 43-year-old man with colon cancer underwent a low anterior resection with a right colectomy and iliotransverse anastomosis in November 2003, followed by 12 cycles of chemotherapy. Two years later, follow-up colonoscopy revealed that the tumor had recurred, so the patient underwent a total colectomy, a partial gastrectomy, and multiple small-bowel resections with gastrojejunostomy and duodenojejunostomy. A total parenteral nutrition regimen was initiated on postoperative day 2 after a right subclavian central line was inserted with the patient under local anesthesia. Four days later, he complained of a progressively growing left submandibular mass. He was febrile and had a white blood cell count of 16 600/µL and a differential neutrophil count of 93%. Therapy with an injectable antibacterial combination agent (Tazocin) was begun; however, the mass continued to grow. On physical examination, it measured 2x2 cm and . . . [Full Text of this Article]


RELATED ARTICLE

Radiology Quiz Case 1: Diagnosis
Arch Otolaryngol Head Neck Surg. 2007;133(11):1164.
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