Case 45

Alissa J. Walsh, Otto C. Buchel, Jane Collier and Simon P.L. Travis

in Oxford Case Histories in Gastroenterology and Hepatology

Published on behalf of Oxford University Press

Published in print March 2010 | ISBN: 9780199557899
Published online November 2012 | e-ISBN: 9780191753329 | DOI:

Series: Oxford Case Histories

Case 45

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A 47-year-old woman presented with a 2-week history of abdominal distension. She had an 18-year history of type 2 diabetes, now controlled with insulin. She also had peripheral vascular disease with a left, below-knee amputation. There was no history of myocardial infarction, neuropathy, or retinal disease. Current medications were enalapril, atenolol, aspirin, amlodipine, and insulin. She drank <10 units/week of alcohol and denied ever having been a heavy drinker.

Chapter.  1299 words.  Illustrated.

Subjects: Gastroenterology

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