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An exceptional cause for recurrent vomiting
  1. K Honein1,
  2. J Boujaoude1,
  3. M Chemaly1,
  4. C Tohme2,
  5. B Abboud2
  1. 1Department of Gastroenterology, Hotel-Dieu de France Hospital, Saint-Joseph University, Beirut, Lebanon
  2. 2Department of General Surgery, Hotel-Dieu de France Hospital, Saint-Joseph University, Beirut, Lebanon
  1. Correspondence to:
    Dr B Abboud
    Department of General Surgery, Hotel-Dieu de France Hospital, Saint-Joseph University, Alfred Naccache St, Beirut, Lebanon; abboudyahoo.fr

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Clinical presentation

A 24 year old woman was admitted for severe and recurrent vomiting. Her complaints began 12 months earlier when she started by having occasional postprandial vomiting and heartburn. A week before admission she had recurrent vomiting on eating solid food and liquids. Aside from vomiting, she had no other signs or symptoms. On admission, physical examination revealed no marked features. The patient’s main laboratory data showed no abnormalities. Gastroscopy was performed (see fig 1). What does it show? The patient underwent abdominal computed tomography scans and endoscopic ultrasound (figs 2, 3).

Figure 2

 Abdominal computed tomography scan.

Figure 3

 Abdominal endoscopic ultrasound scan.

Question

What is the differential diagnosis? Hydatid cyst serology was negative. What is the final diagnosis?

See page 1308 for answer

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Footnotes

  • Robin Spiller, editor

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