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JAMA Surgery Clinical Challenge
May 2016

Elderly Woman With Acute Abdomen and Gastric Mass on Imaging

Author Affiliations
  • 1Department of Surgical Gastroenterology, Max Superspeciality Hospital, Saket, New Delhi
JAMA Surg. 2016;151(5):481-482. doi:10.1001/jamasurg.2015.4710

An elderly woman presented to the emergency department with sudden-onset upper abdominal pain and vomiting for 7 days. She underwent gastric surgery more than 25 years ago, of which no details were available.

On general physical examination, her vital signs were stable. The abdomen was soft and nondistended. There was epigastric tenderness. The results from initial blood tests, including hemogram, liver and kidney function tests, and serum amylase, were unremarkable. Contrast-enhanced abdominal computed tomography was performed (Figure 1).

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