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Volume 360:1259-1260 March 19, 2009 Number 12
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Medical Mystery: Constipation — The Answer

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 by Karakis, I.
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To the Editor: The medical mystery in the January 22 issue1 involved a 56-year-old woman with a medical history of scoliosis and chronic constipation who presented with shortness of breath and cough of 10 days' duration. Plain films and computed tomography (CT) of the chest revealed dilated colonic loops occupying the left hemithorax (single black arrow, Figure 1A, 1B, and 1C). The left lung was nearly completely collapsed (double black arrows, Figure 1B), and the mediastinum was significantly deviated to the right (white arrow, Figure 1A, 1B, and 1C). The patient underwent a colonoscopy, which identified a . . . [Full Text of this Article]




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