Abdominal pain and weight loss: an uncommon outcome to a common referral
- Department of Gastroenterology, St Mary's Hospital, London, UK
- Correspondence to Nowlan Selvapatt, Department of Gastroenterology, St Mary's Hospital, Praed Street, London W2 1RY, UK; nowlan.selvapatt{at}imperial.ac.uk
- Received 4 April 2012
- Accepted 11 April 2012
A 95-year-old woman was referred with a 3-week history of vomiting undigested food, abdominal pains and half a stone weight loss. The general practitioner reported a palpable epigastric mass, which was a ‘golf ball size’. She was managing fluids normally but had reduced appetite. She had a perforated duodenal ulcer repair 40 years previously and was taking aspirin and lactulose. She was otherwise living alone and independent. Apart from a normocytic anaemia …
