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Case Records of the Massachusetts General Hospital
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Volume 349:2541-2549 December 25, 2003 Number 26
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Case 40-2003 — A 14-Month-Old Boy with Recurrent Abdominal Distention and Diarrhea
Benjamin D. Gold, M.D., Sjirk J. Westra, M.D., and Fiona M. Graeme-Cook, M.D.

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Presentation of Case

A 14-month-old boy was admitted to the hospital because of recurrent abdominal distention, vomiting, and diarrhea.

The boy had been born at another hospital at 34 weeks' gestation and weighed 2.56 kg at birth. He had been admitted to the newborn intensive care unit for three days, during which time he received antibiotics and had an unremarkable course. He was bottle-fed and tube-fed on his first day of life but was breast-fed beginning on the second day.

His mother had had ulcerative colitis for 22 years (since the age of 20 years); it was controlled with hydrocortisone in enema form. . . . [Full Text of this Article]

Differential Diagnosis

Yersinia Infection

Sarcoidosis

Crohn's Disease

Tuberculosis

Clinical Diagnosis

Dr. Benjamin D. Gold's Diagnosis

Pathological Discussion

Anatomical Diagnosis


Source Information

From the Department of Pediatrics, Emory University, Atlanta (B.D.G.); and the Departments of Radiology (S.J.W.) and Pathology (F.M.G.-C.), Massachusetts General Hospital and Harvard Medical School.


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