Case 38-2021: A 76-Year-Old Woman with Abdominal Pain, Weight Loss, and Memory Impairment
NEW ENGLAND JOURNAL OF MEDICINE(2021)
Abstract
A 76-year-old woman presented with abdominal pain, anorexia, memory impairment, and suicidal ideation. CT of the abdomen and pelvis revealed multiple dilated, fluid-filled loops of small bowel measuring up to 4 cm in diameter, with air–fluid levels and a transition point in the right lower quadrant. The urinary porphyrin levels were elevated. A diagnosis was made.
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Key words
abdominal pain,memory impairment,weight loss,year-old
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