A 72 year old lady presented with new, non-bloody diarrhoea. She was intermittently using Ibuprofen and had a family history of colorectal cancer. She underwent colonoscopy. What is the classical feature observed at the ceacum? How can the diagnosis be confirmed? How should this be treated? Submitted by PR Harvey, RA Boulton. Department of […]
Category: #FGCaseofthemonth
An unusual cause for hyperamylasaemia
A 79-year-old man with an extensive previous heart history was admitted electively for investigation of weight loss and deterioration of renal function. Whilst an inpatient he developed severe epigastric pain and an initial blood test revealed an acutely raised amylase (> 2000) and deranged liver function tests. A non-contrast CT scan was done. What is […]
A simple IBD flare?
33 year old male with ulcerative colitis presents with a 5-day history of fever, night sweats, abdominal pain and increased stool frequency. Medications include mesalazine M/R 1g once daily, 6-mercaptopurine 75mg once daily and a two week course of prednisolone 40mg once daily. Bloods revealed a leukopenia and c-reactive protein of 23. Based on the […]
Another portal vein thrombosis?
Figure 1 Figure 2 A 62 year old male was undergoing antiviral therapy for HCV cirrhosis. He was asymptomatic with normal liver function tests and a normal alpha fetoprotein level. Routine liver ultrasound suggested a new portal vein thrombosis. CT imaging (figure1) and subsequent pathology specimen (figure 2) demonstrate a unique lesion. What’s in […]
Case of the month: Jelly belly?
Case of the month: A 75 year old man presents with a 2 month history of abdominal distension and lethargy. Clinical examination demonstrates shifting dullness and investigations reveal he has a microcytic anaemia with raised tumour markers (CA19-9-208 U/ml , CEA-88 µg/L) Ascitic aspiration yields a gelatinous fluid, the coronal section of his abdominal CT scan […]
Case of the month-A scalp lesion with anaemia?
A 79 year old man underwent a upper GI endoscopy for dark stools and anaemia (top left), histology from lesions (top right) is presented. Further examination revealed a scalp lesion (bottom left), which was also biopsied (bottom right). What is the unifying diagnosis? Submitted by GJ Webb. […]