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A 47-year-old man was admitted to the hospital because of recurrent abdominal pain and a pancreatic lesion.
The patient had been well until about seven months earlier, when his stools became loose, with intermittent hematochezia. Biopsy specimens of the rectum and colon obtained at 30 and 60 cm during sigmoidoscopic examination revealed active chronic colitis, for which mesalamine was prescribed. Five months before admission, the treatment was discontinued for an uncertain reason. Two weeks later, the patient had the first of four bouts of intense upper abdominal pain and vomiting, each of which lasted about 24 hours.
Laboratory studies performed
Differential Diagnosis
Clinical Diagnosis
Dr. Harold J. Wanebo's Diagnosis
Pathological Discussion
Anatomical Diagnosis
References
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