Complicated Cases in GI

Anthony Kalloo, MD; Jonathan M. Buscaglia, MD

Chapter 53: An Unusual Cause Of Ascites and Gastrointestinal Hemorrhage (continued)

John Clarke, MD

A 28-year-old man from Liberia presented to the hospital with a 3-month history of weight loss, abdominal pain, and malaise. He had lost 30 lbs since the onset of symptoms and reported persistent nausea without vomiting. He denied any dyspnea, cough, fevers, chills, or night sweats. Past medical history was significant only for childhood malaria. He had emigrated from Liberia 6 years prior and worked as a florist. He reported no travel since arrival to the United States. All the members of his immediate family were alive and healthy without significant medical problems. Upon physical…