Tag Archives: abdominal pain

The Hyperlipidemia Effect: Pseudohyponatremia in Pancreatic Cancer

A patient’s newly discovered malignancy was evidently accompanied by a sodium deficit. The 48-year-old man presented to the Emergency Department for evaluation of abdominal pain and weight loss. He described gradual onset of severe, burning, epigastric pain with radiation to the back. In addition, he reported a 70-lb weight loss over 2 months, yellowing of […]

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Massive Asymptomatic Extrahepatic Portal Vein Aneurysm

A 59-year-old woman with no prior liver disease or portal hypertension presented with an episode of right upper quadrant pain that lasted for 3 hours. The patient had a history of cholelithiasis, which was diagnosed 3 years earlier. She denied any other symptoms. Her social and family history were unremarkable. Assessment Her examination was remarkable […]

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An Uncommon Cause of Obstructive Jaundice: An Infrequent Neoplasm

A 42-year-old man was admitted to the Johns Hopkins Hospital with right upper quadrant abdominal pain and scleral icterus of 3 weeks duration. The pain was described as aching and cramping in quality that typically occurred after meals. He had no vomiting or diarrhea but did note acholic stools and had more recently developed diffuse […]

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Plasma Lactescence in Acute Pancreatitis

A 54-year-old man with history of diabetes mellitus and acute necrotizing pancreatitis was admitted with acute abdominal pain. A computed tomography scan of the abdomen revealed findings consistent with acute pancreatitis. Initial laboratory analysis was unremarkable except for HbA1c 11.1%, lipase of 2195 U/L, and amylase of 234 U/L. Interestingly, the laboratory reported that the […]

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An Unusual Cause of Abdominal Pain: Lupus Enteritis

Lupus enteritis is a rare manifestation of systemic lupus erythematous and is considered as a form of visceral vasculitis involving predominantly the jejunum and ileum, with subsequent submucosal edema. Clinical presentation is nonspecific, and main symptoms include focal or diffuse abdominal pain, vomiting, diarrhea, and fever. Even if there is no pathognomonic imaging feature of lupus […]

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