• The Case of the Missing Acupuncture Needle – Solved by 3-D CT

The Case of the Missing Acupuncture Needle – Solved by 3-D CT

Researchers describe the loss and internal migration of an acupuncture needle, and its recovery using 3-dimensional reconstruction computed tomography (CT), in the July issue of Gastroenterology. An-qi He et al, report the case of a 62-year-old woman in China who presented with abdominal pain in the left lower quadrant. Her “needle-like abdominal

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  • Liver Metastases, or Syphilis?

Liver Metastases, or Syphilis?

Researchers report initially mistaking late-stage syphilis for liver metastases in the November issue of Clinical Gastroenterology and Hepatology. Irphan Gaslightwala et al describe a 59-year-old man with a history of chronic lymphocytic leukemia; 6 months of persistent fevers, chills, and night sweats; and loss of 50 pounds. A positron emission tomography–computed tomography

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Bone Tumors, Abdominal Pain, and Aspirin

Physicians report an unusual case of a man with abdominal pain that responded to aspirin therapy, in the October issue of Gastroenterology. It turns out that the pain was caused by a prostaglandin-producing benign bone tumor. Harpal S. Dhaliwal et al. describe examination of a 33-year-old man with an 18-month history

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  • Video: Which Patients with Crohn’s Disease Need a CT Scan?

Video: Which Patients with Crohn’s Disease Need a CT Scan?

Researchers have developed a system to identify patients with Crohn’s disease who do not require computed tomography (CT) evaluation, described by Shail M. Govani et al  in the October issue of Clinical Gastroenterology and Hepatology. The system uses laboratory test results to avoid CT analysis, and thereby unnecessary exposure to radiation and increased cancer risk. People who come to the emergency department with

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Is it a Liver Tumor…or Spilled Gallstones?

A man with an abnormal liver mass who was initially believed to have a hepatic tumor was found to have a subphrenic abscess that contained spilled gallstones, shown in a November Image of the Month article in Clinical Gastroenterology and Hepatology. As described by Takuma Arai et al., a routine checkup

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