Editor's quiz: GI snapshot
Vomiting and a target sign on abdominal CT
1 Division of Gastroenterology, Department of Internal Medicine, Mackay Memorial Hospital, Taipei, Taiwan
2 Department of General Surgery, Mackay Memorial Hospital, Taipei, Taiwan
Correspondence to:
Dr W-H Chang, Division of Gastroenterology, Department of Internal Medicine, Mackay Memorial Hospital, No. 92, Sec. 2, Chung-Shan N. Road, Taipei, Taiwan; mky378@ms1.mmh.org.tw
| The first 150 words of the full text of this article appear below. |
CLINICAL PRESENTATION
An 88-year-old woman was admitted with postprandial vomiting and fever for 2 days. She had had a subtotal gastrectomy with Billroth-II anastomosis for a gastric ulcer 30 years previously. For several months she had noted postprandial abdominal fullness and nausea. Two days before admission, she had chills, increased abdominal fullness, mild right upper quadrant (RUQ) pain and vomiting after meals. The vomitus contained the food she had just eaten. On examination, she had abdominal distension and a palpable mass in the RUQ. Her white blood cell count was 10 500/µl and her haemoglobin was 10.3 g/dl. Her liver function tests were within normal limits. The stool was positive for occult blood. Abdominal CT showed a 2.5x3 cm lesion with target sign near the duodenum and distension of the gallbladder (figs 1 and 2).
Figure 1 A transverse abdominal CT showing a 2.5x3 cm lesion with a | |||||||||
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ANSWER
Gut 2008 57: 694.[Extract] [Full Text] [PDF]
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