A 60-year-old female is brought to the emergency ...



A 60-year-old female is brought to the emergency department by her husband for evaluation of severe lower abdominal pain that prevents her from standing upright. She denies experiencing any rectal bleeding or diarrhea. Her temperature is 38.6(C (101.5(F). Physical examination reveals a palpable mass and tenderness in the left lower quadrant of the abdomen. Laboratory studies reveal a leukocyte count of 14.0 x 103/mcL (reference range: 4.8-10.8 x 103/mcL). The most likely diagnosis is

A) diverticulitis with abscess formation

B) pancreatitis with pseudocyst

C) perforated appendix with abscess formation

D) tuboovarian abscess

E) ulcerative colitis

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