Images in Clinical Medicine

A Medical Mystery — Constipation

Ioannis Karakis, M.D., and Christos Kosmas, M.D.

N Engl J Med 2009; 360:397January 22, 2009

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A 56-year-old woman with a medical history notable for epilepsy, scoliosis, and chronic constipation presented with shortness of breath and cough, which she reported having had for the past 10 days. A chest radiograph was obtained. Her medications consisted of phenytoin, tegaserod, fluticasone–salmeterol, and an albuterol inhaler. What is the diagnosis?

Ioannis Karakis, M.D.
Boston University School of Medicine, Boston, MA 02118

Christos Kosmas, M.D.
Georgetown University Medical Center, Washington, DC 20057

Citing Articles (1)

Citing Articles

1. 1

   Karakis, Ioannis, . (2009) Medical Mystery: Constipation — The Answer. New England Journal of Medicine 360:12, 1259-1260
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