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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 336:786-793 March 13, 1997 Number 11
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Case 8-1997— A 65-Year-Old Man with Recurrent Abdominal Pain for Five Years
Timothy C. Wang, and Lawrence R. Zukerberg

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Presentation of Case

A 65-year-old man was admitted to the hospital because of severe abdominal pain and recurrent diarrhea.

The patient had been well until five years earlier, when he and his wife had nausea, vomiting, and diarrhea after consuming meat in Istanbul, Turkey. The patient took bismuth tablets, and his symptoms resolved in three days. Thereafter, he had bouts of mild abdominal pain and diarrhea about once a month. His wife remained well after the initial episode. Four years before admission, the patient's pain became more severe, with occult blood in the stools. A colonoscopic examination showed two benign polyps. The following . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnoses

Dr. Timothy C. Wang's Diagnoses

Pathological Discussion

Anatomical Diagnoses

Addendum

References



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