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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 334:1045-1051 April 18, 1996 Number 16
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Case 12-1996— An 18-year-old woman with hepatomegaly and ascites
K.A. Bauer, and F.M. Graeme-Cook

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Presentation of Case

An 18-year-old woman was admitted to the hospital because of hepatomegaly and ascites.

The patient had been in excellent health until four weeks earlier, when she started taking norethindrone–ethinyl estradiol tablets. Four days later, she began to have abdominal "bloating" and discontinued the medication; she continued to eat meals, without nausea or vomiting. Her physician elicited a history of a weight gain of 3.6 kg over a period of three months and found abdominal distention. A complete blood count and the results of tests of liver function were normal. Films of the abdomen showed distended loops of bowel. Another physician . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnoses

Dr. Kenneth A. Bauer's Diagnosis

Pathological Discussion

Anatomical Diagnoses

References



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