Year: 2015
Type: article
Study design: Case Report
Abstract: A 30-year-old man presented to the emergency department for two weeks of diffuse abdominal pain and an episode of emesis. He denied fever, prior surgery, or any other illnesses. The patient reported going on a “crash diet regimen ” one month prior, resulting in an intentional weight loss of 25lbs in 30 days. He also reported two episodes of melena-type bowel movements prior and had an esophagogastroduodenoscopy eight days earlier, which was noted to be normal. On physical examination he was mildly ill-appearing with diffuse abdominal tenderness without peritoneal signs. Computed tomography of his abdomen and pelvis showed a small bowel obstruction in the jejunum. A diagnostic laparoscopy was performed. Operative findings revealed 2.5cm lesion at distal portion of thickened small bowel and intussusception 10-12cm proximal to this. He underwent laparotomy with small bowel resection. Pathological
Authors: Nobuhiko Kimura, Michael Hight, James Liang, Ronald Willy, Kimberly Liang, Jacob Camp
Institution: United States Naval Hospital Okinawa
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $500
OpenAlex ID: W759136103