Tag Archives: abdominal pain
Magnetic resonance cholangiopancreatography demonstrating small filling defects in the distal common bile duct.

A Simpler Answer – After All This Time

There is an allure associated with a rare diagnosis. Diagnosis momentum refers to the “stickiness” of a diagnosis once it is attached to the patient,1 and is one example of a cognitive bias that can lead to diagnostic errors. This can lead to misattribution of symptoms to a patient’s existing (even incorrect) diagnosis if clinicians do […]

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Colon Adenocarcinoma Presenting as Plummer-Vinson Syndrome

  Colon cancer is a leading cause of cancer mortality. It could be asymptomatic but usually presents with bowel movement changes and anemia. We present a case of colonic adenocarcinoma that presented with Plummer-Vinson syndrome. A 66-year-old woman presented with a 3-month history of dysphagia. She had progressive dysphagia to solid foods that led to […]

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Possible pathophysiology of thyrotoxicosis-induced vomiting.

A Grave Case of Vomiting

A 60-year-old woman presented with intractable nausea and vomiting, which had progressively intensified over the past 2 weeks. Her past medical history was remarkable for mild thrombocytopenia and mildly elevated liver enzymes. Her vomiting was triggered by oral intake, nonbloody and nonbilious, and associated with nonresolving epigastric pain, dysphagia, anorexia, and weight loss. She had […]

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Contrast-enhanced computed tomography of the abdomen in coronal view showing peripancreatic inflammatory changes consistent with acute pancreatitis.

Hypertriglyceridemia-Induced Acute Pancreatitis with Normal Pancreatic Enzymes

To the Editor: The diagnosis of acute pancreatitis requires 2 of the following 3 features: 1) abdominal pain consistent with acute pancreatitis; 2) serum lipase activity (or amylase activity) at least 3 times greater than the upper limit of normal; and 3) characteristic imaging findings of acute pancreatitis.1 Although normal serum amylase levels have been reported […]

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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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(A) Computed tomography of the abdomen/pelvis revealed a low attenuating lesion within the right lobe of the liver measuring 5.2 × 5.0 × 5.8 cm and (B) mild pericolonic fat stranding in the sigmoid colon. (C) An abdominal ultrasound scan revealed a 5.6-cm hyperechoic area in the central liver and (D) a thick-walled gallbladder filled with stones. (E) A sonographically guided percutaneous catheter drain was placed into the right liver abscess.

Unusual Case of Fever and Abdominal Pain

Pyogenic liver abscess is an uncommon type of intra-abdominal abscess and occurs in approximately 3.6 per 100,000 hospitalized individuals.1 The incidence of pyogenic liver abscess is increasing.1 Here we present a case of Streptococcus anginosus liver abscess, secondary to acute uncomplicated sigmoid diverticulitis and acute cholecystitis. Case Report A 63-year-old man presented to our tertiary medical center with a […]

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