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: 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 previously healthy 13-year-old girl presented with chronic abdominal discomfort, significant weight loss (11 kg over 8 months), and hyponatremia in the setting of decreased oral intake. Initial evaluation revealed elevated inflammatory markers, iron deficiency anemia (IDA), and thickened bowel walls on abdominal ultrasound. Then, computed tomography revealed a small bowel obstruction secondary [...]

Case Presentation: A 36-year-old female presented with a month history of cramping abdominal pain, nausea and vomiting that started after an episode of diarrheal illness associated to ingestion of mangoes. Her symptoms were worse with food intake and consequently, she reported a 25-pound weight loss. Her PCP had performed a urea breath test and an [...]

Background: Patients admitted for nonsurgical management of small bowel obstruction (SBO) often receive intravenous (IV) opioids for pain relief. However, given the opioid crisis and the potential for opioids to hinder recovery and contribute to ileus, exploring alternative analgesics is crucial. This randomized controlled trial (RCT) evaluates the efficacy of IV acetaminophen for pain management [...]

Case Presentation: A 58-year-old woman presented with abdominal pain, nausea, and oral intolerance. Her vitals were stable on admission, but physical exam revealed a distended abdomen with tenderness to palpation in the left lower quadrant and an absence of bowel sounds. Her laboratory results were remarkable only for a hemoglobin of 8.1, which appeared chronic. [...]