Photo Quiz

June 3, 2007
Internal Medicine World Report, July 2006, Volume 0, Issue 0

Prepared by Adrianne K. Thompson, MD, Ultrasound Imaging Chief, Department of Radiology, David Grant Medical Center, Travis Air Force Base, Calif

A 54-year-old woman presented to the emergency department complaining of abdominal pain. She reported a chronic inability to gain weight, fatigue, and loose stools, which were frequently blood-tinged. She was remarkably thin, but her vitals signs were stable. Her abdomen was diffusely tender to palpation but without peritoneal signs. Hemoccult examination was positive. Laboratory tests revealed low hematocrit levels. Contrast-enhanced computed tomography (CT) of the abdomen and pelvis was performed (Figure 1). The patient was admitted to the hospital and underwent a small-bowel follow-through the next day (Figure 2).

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