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Raman Kumar, MD; Elizabeth A. Bender, MD

Arch Surg. 2008;143(7):711.

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

INTRODUCTION

A 52-year-old African American man with lactose intolerance, non–insulin-dependent diabetes mellitus, hypertension, and a virgin abdomen presented with a 6-week history of a 4.5-kg weight loss and a 3-month history of worsening, intermittent, colicky epigastric and periumbilical abdominal pain associated with nausea and vomiting. His pain was most intense postprandially but was relieved by vomiting. He had constipation relieved with laxatives but was passing flatus. A computed tomographic scan of the abdomen revealed a 4.5-cm ileal mass causing a high-grade partial small-bowel obstruction (Figure 1 and Figure 2). An exploratory laparotomy revealed a 5-cm mass in the proximal ileum. A 12.5-cm segment of proximal ileum was sent for pathological analysis.

Figure appears in full text version. Figure 1. Ileal loop with a mass.

Figure appears in full text version. Figure 2. Computed tomographic scan of the abdomen showing an ileal mass.

What Is the Diagnosis?

A. Bezoar

B. Inflammatory myofibroblastic tumor

C. Ectopic pancreas

D. Meckel diverticulum

. . . [Full Text of this Article]

Author Affiliations: Department of General Surgery, Summa Health System, Akron City Hospital, Akron, Ohio.

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