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Previous Volume 350:59 January 1, 2004 Number 1 Next

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View larger version (62K): [in this window] [in a new window]   A 62-year-old man presented with an ileus, marked abdominal distention, hypotension, and oliguria. He had a 15-year history of chronic psychosis. Laboratory findings included renal dysfunction, abnormal liver-function values, and marked hyponatremia. A total of 4800 ml of fluid was aspirated with a nasogastric tube. An anteroposterior abdominal radiograph revealed a ptotic gastric fundus filled with a very large, radiopaque density (arrows). What was responsible for the findings?

 

Bruno François, M.D.
Association des Réanimateurs du Centre Ouest
87000 Limoges, France

Olivier Brenet, M.D.
Association des Réanimateurs du Centre Ouest
49300 Cholet, France

Editor's note: We invite our readers to submit their answers at www.nejm.org/mystery. We will publish the diagnosis in the Correspondence section of the February 19, 2004, issue and e-mail it to everyone who submits an answer. All answers must be received by January 15, 2004.

Related Letters:

Medical Mystery — The Answer
François B., Brenet O.
Extract | Full Text | PDF  
N Engl J Med 2004; 350:839, Feb 19, 2004. Correspondence

This article has been cited by other articles:

• Campion, E. W. (2004). Medical Research and the News Media. NEJM 351: 2436-2437 [Full Text]  
• Francois, B., Brenet, O. (2004). Medical Mystery -- The Answer. NEJM 350: 839-839 [Full Text]