Images in Clinical Medicine

A Medical Mystery

Bruno François, M.D., and Olivier Brenet, M.D.

N Engl J Med 2004; 350:59January 1, 2004

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Article

A 62-year-old man presented with an ileus, marked abdominal distention, hypotension, and oliguria. He had a 15-year history of chronic psychosis. Laboratory findings included renal dysfunction, abnormal liver-function values, and marked hyponatremia. A total of 4800 ml of fluid was aspirated with a nasogastric tube. An anteroposterior abdominal radiograph revealed a ptotic gastric fundus filled with a very large, radiopaque density (arrows). What was responsible for the findings?

Bruno François, M.D.
Association des Réanimateurs du Centre Ouest, 87000 Limoges, France

Olivier Brenet, M.D.
Association des Réanimateurs du Centre Ouest, 49300 Cholet, France

Citing Articles (2)

Citing Articles

1. 1

   Campion, Edward W., . (2004) Medical Research and the News Media. New England Journal of Medicine 351:23, 2436-2437
   Full Text

2. 2

   François, Bruno, , Brenet, Olivier, . (2004) Medical Mystery — The Answer. New England Journal of Medicine 350:8, 839-839
   Full Text

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