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An abdominal pain that looks like a ring

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Received: 1 March 2026
Published: 21 May 2026
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A 53-year-old man presented with severe pain in the left iliac fossa for 2 days without nausea, vomiting, diarrhea, and fever. He was affected by type 2 diabetes mellitus and denied any previous episodes of diverticulitis. Physical examination revealed abdominal tenderness and guarding. Laboratory tests, including C reactive protein, were within the normal range. Point-of-care Ultrasound (US) showed a focal, non-compressible, oval (0.6 x 1 cm), hyperechoic mass with a hypoechoic rim, located directly under the abdominal wall at the point of maximum tenderness. Enhanced Computed Tomography (CT) of the abdomen was performed (Figure 1) and confirmed the diagnostic suspicion.

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CRediT authorship contribution

All the authors equally contributed to the work and approved the final version.

Data Availability Statement

The datasets used during the current case report are available from the corresponding author on reasonable request.

How to Cite



An abdominal pain that looks like a ring. (2026). Emergency Care Journal. https://doi.org/10.4081/ecj.2026.14994