ELECTRONIC CLINICAL CHALLENGES AND IMAGES IN GI A Rare Cause of Diffuse Abdominal Pain and Fullness in a 57-Year-Old Man Pao-Ying Lin,1,2 Horng-Yuan Lou,1,2 and Chun-Chao Chang1,2 1
Division of Gastroenterology and Hepatology, Department of Internal Medicine; and 2Department of Internal Medicine, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan
Question: A 57-year-old man presented with 2-week history of progressive diffuse abdominal pain and fullness that was not associated with nausea or vomiting. He also had body weight loss and 1-week history of constipation. The only significant past medical history was hypertension; there was no significant surgical history. Physical examination showed a distended abdomen with diffuse tenderness. Bowel sound was reduced. Laboratory tests were unremarkable (including autoimmune disorders and hypercoagulable states) other than a high C-reactive protein (CRP) level of 5.85 mg/dL (normal,
Division of Gastroenterology and Hepatology, Department of Internal Medicine; and 2Department of Internal Medicine, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan
Question: A 57-year-old man presented with 2-week history of progressive diffuse abdominal pain and fullness that was not associated with nausea or vomiting. He also had body weight loss and 1-week history of constipation. The only significant past medical history was hypertension; there was no significant surgical history. Physical examination showed a distended abdomen with diffuse tenderness. Bowel sound was reduced. Laboratory tests were unremarkable (including autoimmune disorders and hypercoagulable states) other than a high C-reactive protein (CRP) level of 5.85 mg/dL (normal,
