Case Presentation: A 32-year-old female of Chinese descent with no past medical history presented with abdominal pain, nausea and bloating 1 month in duration. Initial labs remarkable for normal blood counts, positive CA 125 of 1118 U/mL and CA 19-9 of 53 U/mL. Abdominal CT demonstrated bilateral ovarian masses, peritoneal carcinomatosis with omental caking and [...]

Case Presentation: A 32-year-old woman presented with progressively worsening abdominal distention for weeks associated with abdominal pain, postprandial nausea and emesis. The physical exam was notable for generalized tenderness and fluid wave. Lab work revealed proteinuria, acute kidney injury, normocytic anemia, and leukocytosis. She had undergone a diagnostic paracentesis at an outside hospital that had [...]

Case Presentation: Introduction:Tuberculosis (TB) remains a global health issue, with extrapulmonary TB often mimicking other conditions.¹ Diagnosing tuberculous peritonitis is particularly challenging in resource-limited settings, where nonspecific symptoms and limited diagnostics create barriers. This case highlights the complexities of diagnosing tuberculous peritonitis in a chronic alcoholic patient, initially suspected of decompensated liver disease (DCLD) despite [...]

Case Presentation: A 44-year-old man with a history of asthma presented to the emergency department with six weeks of non-bloody diarrhea and one week of abdominal distension. He described no clear trigger for these symptoms and denied associated fever, chills, melena, and dysphagia. He noted a similar episode three years prior, which self-resolved after three [...]

Case Presentation: A 35-year-old female patient with a medical history significant for symptomatic uterine fibroids presented after a syncopal episode. Patient had experienced chronic abdominal pain throughout the past year, but she noted that the pain acutely worsened at the time of her syncopal episode. She also endorsed nausea, vomiting, and new abdominal distension. She [...]

Case Presentation: A 26-year-old female with a past medical history of idiopathic thrombocytopenic purpura (ITP) presented to the hospital with a two-month history of progressive abdominal distension and nausea. On physical examination, she had decreased breath sounds at the bilateral lung bases and massive ascites. Laboratory tests revealed normocytic anemia, mild hyponatremia, slightly elevated creatinine [...]

Case Presentation: A 58-year-old female with hypertension and end stage renal disease (ESRD) on hemodialysis was admitted with subacute dyspnea accompanied by abdominal pain and swelling. During a previous admission for similar symptoms three months prior, CT of the abdomen and pelvis revealed ascites and an adnexal mass measuring 8.6×5.2 cm. She was treated for [...]

Case Presentation: A 29-year-old Black female presented with abdominal pain, nausea, vomiting, and diarrhea. Her history was notable for a hospitalization three months prior for Streptococcus pneumoniae meningitis with associated septic arthritis of the hip requiring long term antibiotics. On examination she was afebrile with reassuring vital signs. Her abdomen was distended with notable diffuse [...]