Tag Archives: Gastroenterology

Chylous Ascites: An Unusual Complication of Necrotizing Pancreatitis

To the Editor: A 59-year-old woman with hypertension presented to the emergency department with abdominal pain secondary to gallstone pancreatitis. She had no history of liver disease, tuberculosis, or cancer. She was febrile to 38.9°C (102°F), blood pressure 49/29 mm Hg, heart rate 124 beats per minute, respiratory rate 31 breaths per minute, and normal […]

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Deadly Diarrhea: The Clever Disguise of Aortic Dissection

  Aortic dissection is one of the great imitators that can present in many ways clinically, depending on the portion of the aorta undergoing dissection.1 Therefore, it is of utmost importance to discuss the variety of presentations, including those that are rare, so as not to miss this potentially fatal diagnosis. Our case is important because […]

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Intermittent Gastric Volvulus Mimicking Acute Coronary Syndrome

Intermittent gastric volvulus plagued a 61-year-old white woman with chest pain for months before it was observed on esophagogastroduodenoscopy (EGD). She presented to the Emergency Department with complaints of progressively worsening localized, burning, left-sided and substernal chest pain that was identical to her previous myocardial infarction. Her chest pain was associated with nausea, vomiting, and […]

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Online Educational Video Improves Bowel Preparation and Reduces the Need for Repeat Colonoscopy

  Unsatisfactory bowel preparation has been reported in up to 33% of screening colonoscopies. Patients’ lack of understanding about how a good bowel preparation can be achieved is one of the major causes. Patient education has been explored as a possible intervention to improve this important endpoint and has yielded mixed results. We compared the […]

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Presumptive Lupus Enteritis

A 22-year-old student of engineering presented with a 2-week history of facial puffiness and pedal edema. Investigations revealed anemia, lymphopenia, urinary nephritic sediment, low complements, antinuclear antibodies with a homogenous pattern on immunofluorescence, and high titers of anti–double-stranded DNA antibodies. A renal biopsy was performed, and the results were uneventful. It confirmed class 4 lupus […]

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