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Jonathan D. McCue, MD; Dilip S. Nath, MD; Bruce A. Bennett, MD
Author Affiliations: Department of Surgery, Regions Hospital, St Paul, Minn.

Arch Surg. 2006;141:607.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

An 84-year-old man who resided in a nursing home presented to the emergency department with a 3-week history of gradually worsening nausea, anorexia, and postprandial left upper quadrant abdominal pain with eventual food avoidance and greater than 10% weight loss. He had no difficulty passing flatus or having bowel movements. His surgical history was significant for an infrarenal abdominal aortic aneurysm repair 12 years prior to presentation. There was no known history of peptic ulcer disease, biliary disease, or malignancy. Physical examination revealed a cachectic man with a height of 1.7 m and weight of 45 kg. He was afebrile with a blood pressure of 130/70 mm Hg, pulse of 85 beats/min, respiratory rate of 22/min, and a 95% arterial oxygen saturation (SaO₂) on room air. His abdomen was soft and nondistended with moderate left upper quadrant . . . [Full Text of this Article]

What Is the Diagnosis?



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Arch Surg. 2006;141(6):608.
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