Editor's quiz
A case of persistent vomiting
1 Department of Haematology-Oncology, National University Hospital, Singapore
2 Department of Diagnostic Imaging, National University Hospital, Singapore
3 Department of Surgery, National University Hospital, Singapore
Correspondence to:
Dr A Pang, Department of Haematology-Oncology, National University Hospital, 5 Lower Kent Ridge Road, Singapore 119074; ayakuramoto@hotmail.com
| The first 100% of the full text of this article appears below. |
CLINICAL PRESENTATION
A 34-year-old Malay gentleman presented with colicky abdominal pain and bilious vomiting. He was recently diagnosed with metastatic non-small cell lung carcinoma (squamous type) to his brain and was receiving palliative whole brain radiotherapy.
Clinical examination revealed a soft, scaphoid abdomen. There were no palpable masses but his bowel sounds were sluggish.
The CT scans of his abdomen (fig 1) are shown opposite.
Figure 1 CT scans of the patient’s abdomen.
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QUESTION
What is the diagnosis?
See page 770 for the answer.
This case is submitted by:
Robin Spiller, editor
Competing interests: None.
Patient consent: Obtained.
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ANSWER
Gut 2009 58: 770.[Extract] [Full Text] [PDF]
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