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JAMA Surgery Clinical Challenge
December 2014

A Rare Cause of Cachexia and Chronic Diarrhea

Author Affiliations
  • 1Department of Traumatology and Emergency Surgery, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan, Taiwan
  • 2Department of General Surgery, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan, Taiwan
JAMA Surg. 2014;149(12):1333-1334. doi:10.1001/jamasurg.2014.101

A 54-year-old woman presented with a 6-month history of watery diarrhea and severe halitosis. She also lost more than 30 kg of weight during this period. Physical examination revealed acute cachexia with conjunctival pallor and an immobile nontender mass in the left upper abdomen. Her laboratory test results revealed a microcytic anemia and hypoalbuminemia. Abdominal computed tomography was performed (Figure 1). The patient was scheduled for exploratory laparotomy and resection.

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