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A Rare Cause of Large Bowel Obstruction

    A 64-year-old man presented with abdominal distension, pain, and vomiting for 5 days. Computed tomography scan of the abdomen showed dilated small intestine and colon, air in the biliary tree, and a calcified mass in the sigmoid colon. Colonoscopy showed a large impacted stone in the sigmoid colon. This was likely a migrated […]

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Lurking in the Wall: Pneumatosis Cystoides Intestinalis with Scleroderma

In a minority of cases, the identification of pneumoperitoneum on imaging is not an indication for emergency surgery, particularly when the patient has no signs of peritoneal irritation. A 59-year-old man presented after 5 days of nausea, vomiting, and mildly painful abdominal distention. He had a 6-year history of scleroderma, marked by Raynaud phenomenon, characteristic […]

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Just Scratching the Surface: Intractable Nausea and Vomiting

Presentation Linitis plastica is an uncommon (<20% of all gastric cancers) and aggressive form of gastric cancer with a high rate of metastatic disease at the time of diagnosis and poor prognosis.We present a case of linitis plastica masquerading as peptic stricture in a young Hispanic woman. The diagnosis was delayed owing to sparing of […]

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Irritable Bowel Syndrome: Combating a Common Complaint (video)

Irritable bowel syndrome is the most common functional gastrointestinal disorder, manifesting as abdominal pain/discomfort and altered bowel function.  Despite affecting as many as 20% of adults, a lack of understanding of etiopathogenesis and evaluation strategies results in diagnostic uncertainty. In the August 2015 issue of The American Journal of Medicine, Sayuk and Gyawali detail modern […]

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