Case Presentation: A 94-year-old man with no significant past medical history presented to the Emergency Department with a two week history of progressively worsening constipation accompanied by nausea, vomiting, and abdominal pain. He denied any hematochezia, melena, change in stool caliber or unintentional weight loss. He had never undergone a colonoscopy. He had tried stool [...]

Case Presentation: A 33 year-old female presented to an outside facility with a few days of gradual onset abdominal pain with nausea and vomiting. On presentation, vital signs were notable for tachycardia. Examination showed periumbilical tenderness without rigidity or guarding. Labs were remarkable for leukocytosis and normocytic anemia but normal lipase. CT of the abdomen [...]

Case Presentation: 21 cases of small intestine anisakiasis were analyzed in terms of medical history, examinations of symptoms, vital signs, laboratory data, and CT findings. 9 cases were identified through specific anisakiasis Immunoglobulin E or Immunoglobulin A testing. 2 cases were confirmed by the detection of anisakis by endoscopic examination. 10 cases were diagnosed based [...]

Case Presentation: A 73-year-old female with PMH of iron deficiency anemia, laparoscopic cholecystectomy, and hernia repair had received iron transfusions as well as blood transfusion. Despite which, her hemoglobin remained low, 7.3gm/dl. She was fatigued, but denied abdominal pain, black stool, vomiting blood, fevers or chills. She had an upper endoscopy that was unremarkable as [...]

Case Presentation: A 23-year-old male with past medical history of anxiety disorder presented with nausea and multiple episodes of vomiting for 2 days. He also had generalized abdominal pain that was cramp-like in nature. There was no abdominal distention, however the patient reported constipation. He passed flatus during this episode. Noteworthy was the patient’s 10 [...]

Case Presentation: 47-year-old male veteran presented with one-month history of intermittent left-sided abdominal pain, vomiting, constipation and melena. Abdominal X-ray revealed small bowel obstruction. CT scan of the abdomen and pelvis with contrast revealed multifocal masses involving proximal to mid-small bowel with small bowel obstruction secondary to the mass at the level of jejunal and [...]

Case Presentation: A 67 year old female presented to an outside facility with four months of intermittent abdominal pain and alternating episodes of diarrhea and constipation. CT scan of the abdomen and pelvis showed a large lobulated mesenteric mass closely adherent to adjacent bowel and encasing the SMA and SMV. A CT-guided core needle biopsy [...]

Case Presentation: A 56-year-old male presented with acute crampy, diffuse abdominal pain, distension, constipation and nausea. Last year, he had similar episode that was clinically diagnosed as diverticulitis and managed conservatively. Other review of systems was negative. Vitals signs were normal. Abdominal exam was remarkable for distension and left lower quadrant tenderness with no rebound [...]

Case Presentation: A 77-year-old male with a past medical history of Parkinson’s disease, neurogenic bladder, and 2 episodes of partial colonic obstruction in the last 6 months presented with abdominal pain. Abdominal pain was intermittent, mild to moderate intensity, localized in the left lower quadrant, and his last bowel movement was 6 days ago. The [...]

Case Presentation: A 74-year-old woman presents to the ED with acute on chronic right upper quadrant pain that awoke her from a dead sleep. She reported struggling with intermittent abdominal pain, nausea, and vomiting over the past several months, but not previously this severe. Patient denied fevers or chills. Labs were remarkable for leukocytosis, transaminitis, [...]