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Acute Epigastric Pain as the Cause of Urgent Gastrectomy in a Healthy Patient

A 63-year-old man with no surgical history, taking no medication,was referred to the emergency department for epigastric pain and nausea that had started afew hours earlier. A sore throat had begun 24hours previously. Physical examination revealed normal temperature, hemodynamic stability, a distended abdomen with abdominal guarding that was very painful on palpation, and no mass […]

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doctor gives a physical examination of a patient

Gas Within the Bladder

To the Editor: An 83-year-old woman with a medical history of hypertension, chronic renal failure, and diabetes mellitus came to the emergency department of our clinic after 2 days of fever, asthenia, adynamia, and hypogastric abdominal pain associated with dysuria, polyuria, and bladder tenesmus. Her family reported that she had been increasingly fatigued in the […]

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doctor putting on gloves

Schistosoma Japonicum and Colon Polyps

We read the report on Schistosoma japonicum with great interest.1 Kiyani et al reported a case of “hyperplastic polyps with numerous parasite eggs most consistent with Schistosoma japonicum” detected from colorectal cancer screening.1 Indeed, S. japonicum infection is an important fluke infestation. The colon abnormality in the patient with S. japonicum infection is sporadically reported. Imai et al mentioned that “Colonic schistosomiasis is a probable independent […]

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The Physician From Vienna

On March 12, 1938, Nazi troops invaded Austria. Three days later, in Vienna, a nearly 80-year-old physician named Ismar Boas (1858-1938) (Figure) committed suicide. Thus ended the life of a pioneering founder of gastroenterology.1 In 1886, Boas opened the first specialty clinic for digestive diseases in Berlin. In 1895, he founded the first gastroenterology journal, […]

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Nutritional Nightmare: Hypoparathyroidism Secondary to Celiac Disease

A 33-year-old woman with history of diverticulitis status post hemicolectomy and idiopathic hypoparathyroidism presented with tetany and facial twitching for 3 months. She was transferred to a tertiary medical center for refractory tetany. She presented to her physician earlier in the week for diffuse muscle cramps and facial twitching. On review of her medical record, […]

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