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Images in Clinical Medicine
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Volume 350:59 January 1, 2004 Number 1
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A Medical Mystery

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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 . . . [Full Text of this Article]


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

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