Editor's quiz
Ileal obstruction in a 73-year-old woman
1 Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan
2 Department of Internal Medicine, TaoYuan General Hospital, Taoyuan, Taiwan
3 Department of Gastroenterolog, E-DA Hospital, Kaohsiung, Taiwan
4 Department of Intermal Medicine, Far Eastern Memorial Hospital, Taipei, Taiwan
5 Department of Internal Medicine, National Taiwan University Hospital Yun-Lin Branch,Yun-Lin, Taiwan
Correspondence to:
Dr H-P Wang, Department of Internal Medicine, National Taiwan University Hospital, No 7, Chung-Shan South Road, Taipei, Taiwan; wanghp@ntu.edu.tw
| The first 150 words of the full text of this article appear below. |
CLINICAL PRESENTATION
A 73-year-old woman presented to our emergency department with complaints of progressive abdominal fullness and vomiting for 2 months. Her past history was unremarkable apart from breast cancer 10 years ago treated with left mastectomy and chemotherapy with tamoxifen, with no sign of recurrence during follow-ups. Her vital signs on arrival were stable, and physical examination revealed local tenderness over the right lower quadrant without peritoneal sign. Laboratory data were all within normal limits. A CT san of the abdomen was performed (Fig 1). In addition, ileocolonoscopy showed unusual findings in the terminal ileum (Fig 2).
Figure 1 Abdominal CT.
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Figure 2 The colonscope was inserted into the terminal ileum about 10 cm above the ileocaecal valve and it revealed swelling and hyperaemic mucosa with luminal narrowing.
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QUESTION
What is your diagnosis?
See page 804 for the answer.
This case is submitted by:
Robin Spiller, editor
Competing interests: None.
Patient consent:
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ANSWER
Gut 2009 58: 804.[Extract] [Full Text] [PDF]
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