Case 26

 

A male patient, 26 year-old, was completely well till 4 months ago when he developed ongoing abdominal pain, repeated vomiting, diarrhea and significant weight loss.

He sought medical advice and had undergone many investigations including gastro-duodenoscopy and received many medications without improvement.

Examination:

                   - diffuse abdominal tenderness

                   - enlarged tender liver

 C.T. Abdomen was performed (see the photos).

 N.B. click on photo to enlarge 

 

 

 

 

 

 

 

 

Answer

 

Answer