Editor's quiz
Epigastric pain in a woman with previous Behçet’s disease
1 First Department of Internal Medicine, University of the Ryukyus, Okinawa, Japan
2 First Department of Surgery, University of the Ryukyus, Okinawa, Japan
Correspondence to:
Dr A Hokama, First Department of Internal Medicine, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa 903-0215, Japan; hokama-a@med.u-ryukyu.ac.jp
| The first 100% of the full text of this article appears below. |
CLINICAL PRESENTATION
A 36-year-old Japanese woman presented with sudden onset epigastric pain. Her medical history included an 8 year history of Behçet’s disease with the treatment of prednisolone. On examination, she was afebrile and had localised epigastric tenderness with rebound. Routine laboratory examinations indicated an elevated white blood cell count of 18x109/litre and other normal values. A plain abdominal radiograph revealed no free air but localised ileus in the upper abdomen.
QUESTION
A CT scan is shown in fig 1. What is the diagnosis?
Figure 1 Abdominal CT scan.
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See page 948 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: 948.[Extract] [Full Text] [PDF]
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