Complicated Cases in GI

Anthony Kalloo, MD; Jonathan M. Buscaglia, MD

Chapter 55: A Strange Cause of Weight Loss (continued)

Karen Krok, MD

A 68-year-old man presented to his physician with a chief complaint of weight loss. The patient stated that he had unintentionally lost 40 lbs during the previous 6 months. He also noted new-onset night sweats, fatigue, and watery diarrhea. Recent upper endoscopy and colonoscopy with mucosal biopsies were unremarkable. The patient had a history of hypertension, coronary artery disease, diabetes mellitus, and presumed acute hepatitis A infection in 1956. He underwent an appendectomy and exploratory laparotomy in 1984 (as well as several laparotomies since then) for recurrent small bowel…
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