Tag Archives: Gastroenterology

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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An Ominous Cause of Hematemesis

  A 49-year-old physically active man presented to our emergency department with sudden-onset ongoing massive hematemesis of 1-day duration. A system review was unrevealing except for poor appetite for 2 to 3 days before presentation. His history was negative for any significant alcohol consumption or nonsteroidal anti-inflammatory intake. He denied taking any prescription or over-the-counter […]

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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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