Year: 2003
Type: article
Study design: Case Report
Abstract: A 65 year old black woman with hypertension (HTN), gastroesophageal reflux disease (GERD), and anxiety had complained to her primary care physician of vague abdominal pain. Initial empiric treatment as an outpatient for worsening GERD was unsuccessful. The patient had insidious development of generalized fatigue, early satiety, nausea, vomiting, and weight loss. An ultrasound of the abdomen revealed multiple liver lesions, with the largest lesion being 2.5 cm x 2.5 cm. She subsequently underwent a CT scan of the abdomen and pelvis, which confirmed multiple hyperdense liver lesions. The remainder of the scan was unremarkable. Esophagogastroduodenoscopy (EGD) as well as colonoscopy was performed, revealing a duodenal mass and a sigmoidal polyp. Biopsy of these two lesions showed an adenomatous polyp and a tubular adenoma, respectively, and subsequent liver biopsy diagnosed poorly differentiated adenocarcinoma. The patient was then admitted to TJUH for further management.
Source: The Medicine Forum
Author: Daniel Lin
Institution: Thomas Jefferson University
Language: English
Subfield: Internal Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W2167621095