Case Presentation: A 49-year-old male presented for evaluation of an umbilical hernia. Past medical history was remarkable for alcohol misuse; the patient had ceased all alcohol consumption three years earlier. Physical exam revealed a protuberant, non-tender abdomen with a 4×4 cm reducible umbilical hernia. Pre-operative laboratory exam was remarkable for serum sodium of 137 mmol/L, […]

Case Presentation: 61 year old Hispanic male with a history of end-stage renal disease receiving scheduled hemodialysis, type 2 diabetes presented with 2 months of progressive abdominal pain and distension, anorexia, and intermittent fevers. He had lived in Fresno, Ca for over 20 years. Five months prior, he was diagnosed and treated for COVID-19 pneumonia. […]

Case Presentation: A 61-year-old male with PMH of sleep apnea was re-admitted to the hospital 3 weeks after a laparoscopic cholecystectomy secondary to gallstones and 1 week after an episode of acute pancreatitis with necrotizing pancreatitis and a large walled off necrotic peripancreatic collection. He underwent EUS guided cystgastrostomy with gastric and duodenal stenting and […]

Case Presentation: We present the case of a 67-year-old female with a history of GERD, diabetes, and remote breast cancer treated with lumpectomy, radiation, and tamoxifen who presented with one-month of persistent abdominal distension associated with anorexia, nausea, vomiting, and shortness of breath. In addition, she had one episode of severe epigastric pain that radiated […]

Case Presentation: A 76 year old male without any significant past medical history presented to the emergency department with abdominal pain, night sweats, and a fever for a week. He was found to have a mild macrocytic anemia (Hgb 9.9, MCV 105.4) with a normal B12 and folate, and elevated inflammatory markers (CRP 24, ESR […]

Case Presentation: A 51-year-old man with history of psoriasis presented to the emergency department for abdominal discomfort and distention for 2 weeks, associated with fever, weight loss, night sweats, non-productive cough, and shortness of breath. He previously lived in Mexico and was treated in the past for latent tuberculosis (TB) with 6 months of isoniazid. […]

Case Presentation: A 54-year-old woman presented with six months of diarrhea and weight loss, and three months of abdominal distension. Her abdomen was distended and diffusely tender to palpation. Initial labs were notable for an albumin of 3.4 with normal bilirubin, AST, and ALT. Cross-sectional imaging demonstrated large ascites without evidence of liver pathology or […]