Editor's quiz: GI snapshot

A peculiar gallbladder content

E Caturelli¹, S Dell’Isola², A M Ialungo³, G Ghittoni⁴, P Roselli⁵

¹ Unitè Operativa di Gastroenterologia, Ospedale Belcolle, Viterbo, Italy, Strada Sammartinese, I-01100 Viterbo, Italy; e.caturelli@tiscalinet.it
² Unitè Operativa di Malattie Infettive in Ambito Penitenziario, Ospedale Belcolle, Viterbo, Italy
³ Unitè Operativa di Malattie Infettive in Ambito Penitenziario, Ospedale Belcolle, Viterbo, Italy
⁴ Unitè Operativa di Gastroenterologia, Ospedale Belcolle, Viterbo, Italy
⁵ Unitè Operativa di Gastroenterologia, Ospedale Belcolle, Viterbo, Italy

Correspondence to:
Dr E Caturelli, Unitè Operativa di Gastroenterologia, Ospedale Belcolle, Viterbo, Italy, Strada Sammartinese, I-01100 Viterbo, Italy; e.caturelli@tiscalinet.it

The first 150 words of the full text of this article appear below.

CLINICAL PRESENTATION

A 78-year-old man presented with spastic paraparesis. He had a 6 month history of progressive motor disturbance of the lower limbs. He had a past medical history of unexplained occasional episodes of fever during the few days before admission. He worked as a fisherman in a freshwater lake situated in central Italy, and he consumed raw vegetables that he gathered in the countryside.

At clinical examination a slight tenderness could be elicited in the right upper abdominal quadrant. Blood investigations were within the normal limits apart from an erythrocyte sedimentation rate of 50 mm (normal, up to 12), total bilirubin 24.3 µmol/l (normal range, 5–22), serum alkaline phosphatase 183 U/l (normal range, 38–126), and gamma glutamyl transferase 300 U/l (normal range, 8–78). A left shift leucocytosis (leucocytes 13 000 mm³, neutrophils 72.6%) was present.

Magnetic resonance imaging of the spine revealed compression of the spinal cord caused by a . . . [Full text of this article]

CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    What's this?

Relevant Article

ANSWER
Gut 2008 57: 40. [Extract] [Full Text] [PDF]