Case List History Objectives Radiology Images Questions SMALL INTESTINE AND APPENDIX Case #1 - A 21 year old with acute RLQ pain DISCUSSION QUESTIONS: 9.) What is the significance of a mass in the RLQ on exam? What should you do? A mass in the right lower quadrant on examination may represent phlegmon (inflammatory mass) or abscess. A CT scan is indicated to differentiate these two. An abscess should be drained percutaneously under CT guidance if possible. A phlegmon or an abscess is also treated with IV antibiotics and interval appendectomy after six weeks.
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