An Elderly Woman With Upper Abdominal Pain and a 60-Pound Weight Loss

Question: A 63-year-old African American woman presented with 2 years of nausea, vomiting, upper abdominal pain, and a 60-pound weight loss with  no reported diarrhea or gastrointestinal bleeding. Her outside hospital workup included esophagogastroduodenoscopy, colonoscopy with biopsies, and a video capsule endoscopy that showed gastric mucosal edema. Celiac serologies were negative and an empiric gluten-free diet failed to resolve her sy mptoms. She was admitted with severe malnutrition and started on total parenteral nutrition.

Source: Gastroenterology - July 13, 2017 Category: Gastroenterology Authors: Dalbir S. Sandhu, Andrew M. Bellizzi, Rami El Abiad Tags: Electronic Clinical Challenges and Images in GI Source Type: research