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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 330:1376-1381 May 12, 1994 Number 19
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Case 19-1994— A 47-Year-Old Woman with Long-Standing Intermittent Abdominal Pain, Vomiting, and Marked Weight Loss
Alan W. Hackford, and Fiona Graeme-Cook

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Presentation of Case

A 47-year-old woman was admitted to the hospital because of intermittent abdominal pain, vomiting, and weight loss.

The patient had been well until six years earlier, when she began to experience intermittent bouts of crampy periumbilical pain radiating to the back. The episodes typically began after a meal but were sometimes unrelated to the intake of food; they lasted from a few minutes to several days but most often subsided after about four hours. Episodes of pain were accompanied by abdominal distention and vomiting of mucus and bile, with temporary constipation that often subsided with the passage of one or . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Alan W. Hackford's Diagnosis

Pathological Discussion

Anatomical Diagnosis

Addendum

References



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