EDITOR'S QUIZ: GI SNAPSHOT
Chronic abdominal pain in an alcoholic
Department of Gastroenterology, Changhua Christian Medical Centre, Changhua, Taiwan, ROC
Correspondence to:
Correspondence to:
Dr Yang-Yuan Chen
Changhua Christian Medical Centre, 135 Nanhsiao St, Changhua, 500 Taiwan, ROC; 27716@cch.org.tw
| The first 150 words of the full text of this article appear below. |
A 38-year-old man with alcoholic liver disease was admitted complaining of intermittent right abdominal pain over a 4 month period. He had been admitted twice during the period with a diagnosis of alcoholic pancreatitis. The pain was relieved after bowel rest and administration of a narcotic agent but recurred despite the absence of alcohol. He did not have fever but lost 5 kg in body weight during the period as a result of decreased appetite. Upper gastrointestinal endoscopy and abdominal ultrasound showed no obvious malignancy. A review of previous image studies relating to his case revealed that an unrecognised calcification had occurred over the right abdomen 4 months earlier (fig 1
, arrow). Abdominal computed tomography was then performed to evaluate the lesion (fig 2).
Figure 1 Kidney-ureter-bladder x ray disclosed a calcified lesion over the right abdomen (arrow).
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Figure 2 Abdominal computed tomography confirmed the calcified lesion located in the right subhepatic | |||||||||
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Gut 2007 56: 185.[Extract] [Full Text] [PDF]
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