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.
Huang J, Liao C, Yeh T. A Rare Cause of Cachexia and Chronic Diarrhea. JAMA Surg. 2014;149(12):1333-1334. doi:10.1001/jamasurg.2014.101