Daily Archives: November 24, 2017

Reply

We thank the authors for their correspondence regarding our recent article on the association between aflatoxin and gallbladder cancer (GBC) in Gastroenterology.1 As the authors of this letter discuss, there are a number of outstanding questions to be … Continue reading

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A Rare Case of Epigastric Pain and Vomiting

Question: A 63-year-old woman was admitted to the emergency room for vomiting and abdominal pain localized in the epigastric region for the past 48 hours. Past medical history included ulcerative colitis, arterial hypertension, and asthma. Four months … Continue reading

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A Rare Cause of Cecal Fistula

Question: An 81-year-old woman presented to our clinic with abdominal distension and constipation for the past 1 week. She had nausea, vomiting, and an unintentional 15-pound weight loss over the past few months. Past medical history was significant fo… Continue reading

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Gastrocolic Fistula: A Rare Presentation of a Common Disease

Question: A 65-year-old woman presented to emergency department with progressively worsening abdominal pain and diarrhea. She reports her symptoms started 8 months ago but have progressed to include nausea, vomiting, decreased appetite, and a 13-lb wei… Continue reading

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An Usual Cause of Massive Upper Gastrointestinal Bleeding

Question: A 48-year-old man was referred to our hospital with a 12-hour history of acute massive upper gastrointestinal (GI) bleeding. He denied previous similar episodes or chronic medical illnesses. Two days before admission, he was seen in another h… Continue reading

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A 41-Year-Old Man With Abdominal Pain, Deranged Liver Function, and Fevers

Question: A 41-year-old man presented with sudden-onset upper abdominal pain and fevers. His only past medical history was antiphospholipid syndrome, diagnosed after 2 deep vein thromboses, and discoid lupus. He had been treated with warfarin for >10 years, but took no other medications. Continue reading

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A Rare Cause of Recurrent Constipation With Abdominal PainĀ and Distension

Question: A 38-year-old man presented with a 1-day history of constipation, abdominal distension, and central abdominal pain. He had similar episodes in the past and there was no history of weight loss, vomiting, or bleeding per rectum. Continue reading

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