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Re: Interesting puzzling case From: Dr Eberhard Lisse (el@lisse.NA) Wed Aug 30 12:31:21 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: R. Daniel Braun: "Re: Interesting puzzling case" Previous message: Joe Cutchin: "Re: Interesting puzzling case" In reply to: ENDODOK@aol.com: "Interesting puzzling case" Next in thread: R. Daniel Braun: "Re: Interesting puzzling case" Which part of the bowel is the hole in? el on 8/30/06 4:06 PM ENDODOK@aol.com said the following: > Interesting puzzling case: > > 39 yr old G2P2 (C/Sx2) underwent simple LSH for adenomyosis, discharged > 4 hrs.post-op. Recuperation rapid. Awoke 2AM p.o. day 14, with > epigastric and RUQ pain, and 2 diarrheal stools. No chills/ fever/ > anorexia/, nausea or vomiting. Pt has very long Hx. of “stomach > problems”, work-up by GI “delayed gastric emptying”, Rx with Reglan and > Zantac. Sx. occur a couple of times per year, slow response to above meds. > > Pt. lives 35 miles away, went to her local community > hospital that evening as pain increasing. P/E totally negative- Vitals > normal, abdomen soft, non-tender, no distention, no guarding, no > rebound, BS wnl. Pelvic unremarkable- no mass/ induration / tenderness/ > local heat ( as one can find with a hot TOA). Hct 40%, WBC 19,000. Next message: R. Daniel Braun: "Re: Interesting puzzling case" Previous message: Joe Cutchin: "Re: Interesting puzzling case" In reply to: ENDODOK@aol.com: "Interesting puzzling case" Next in thread: R. Daniel Braun: "Re: Interesting puzzling case"

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