Case 43131

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Abstract
Presentation of CaseA thirty-four-year-old housewife entered the hospital because of diarrhea.During the two previous years she noted intermittent episodes of dull pain in the upper abdomen that occurred about an hour after meals. The pain was made worse by fried food and was not relieved by antacids. During the eleven months before entry her weight fell from 110 to 71 pounds. The abdominal pain subsided spontaneously seven months before admission. At this time an upper gastrointestinal series, a cholecystogram and a barium-enema examination were reported as negative. She began to have diarrhea, with putty-colored, foamy, loose, foul-smelling stools. . . .

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