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Volume 356:1381-1382 March 29, 2007 Number 13
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A Medical Mystery: Dilated Bowel — The Answer

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 by Handwerker, J.
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The medical mystery in the February 1 issue1 involved a 70-year-old man who presented with a history of increasing abdominal distention. The patient was evaluated by means of computed tomography (CT) after an abdominal radiograph raised concern about a sigmoid volvulus. The diagnosis of a colonic pseudo-obstruction was made after the CT scan and a follow-up contrast enema study showed dilated loops of colon extending to the rectum, without evidence of blockage or perforation. An underlying parasitic infection was ruled out by means of additional laboratory testing.

The CT scout image, however, provided a clue to the patient's disease. With . . . [Full Text of this Article]




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