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A correction has been published 1

Case Records of the Massachusetts General HospitalFree Preview

Case 20-2008 — A 57-Year-Old Woman with Abdominal Pain and Weakness after Gastric Bypass Surgery

List of authors.
  • Herbert L. Bonkovsky, M.D.,
  • Peter Siao, M.D.,
  • Zulmarie Roig, M.D.,
  • E. Tessa Hedley-Whyte, M.D.,
  • and Thomas J. Flotte, M.D.

A 57-year-old woman was admitted to the hospital because of abdominal pain and weakness, 1 month after gastric bypass surgery. In the month after the operation, episodes of tachycardia, bradycardia, diarrhea, dark urine, and abdominal pain occurred, with urine cultures that were positive for bacteria. After admission, weakness and numbness in the legs and arms developed and progressed to flaccid quadriparesis. A diagnostic test was performed.

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Funding and Disclosures

Dr. Bonkovsky reports receiving consulting fees from Boehringer Ingelheim, Novartis, and Ovation; lecture fees from Ovation; and grant support from Novartis.

No other potential conflict of interest relevant to this article was reported.

Author Affiliations

From the Departments of Medicine and Molecular, Microbial, and Structural Biology, University of Connecticut Health Center, Farmington; the Department of Medicine, Carolinas Medical Center, Charlotte, NC, and University of North Carolina, Chapel Hill; and the Department of Biology, University of North Carolina, Charlotte (H.L.B.); and the Departments of Neurology (P.S.), Radiology (Z.R.), and Pathology (E.T.H-W., T.J.F.), Massachusetts General Hospital; and the Departments of Neurology (P.S.), Radiology (Z.R.), and Pathology (E.T.H-W., T.J.F.), Harvard Medical School — both in Boston.

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