You are here

Article Text

Article menu
Download PDFPDF
Editor’s quiz
A patient with new onset of thoracic pain, dyspnoea and weight loss
  1. G Lohr1,
  2. C Luft2,
  3. K Lenz1
  1. 1
    Department of Internal Medicine, Konventhospital Barmherzige Brueder, Linz, Austria
  2. 2
    Department of Radiology, Konventhospital Barmherzige Brueder Linz, Austria
  1. Correspondence to Dr G Lohr, Konventhospital Barmherzige Brueder, Seilerstaette 2, A-4020 Linz, Austria; gerald.lohr{at}bblinz.at

https://doi.org/10.1136/gut.2009.178111

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    Clinical presentation

    A 55-year-old man with a long history of recurrent alcohol-induced chronic pancreatitis was admitted to our hospital with new onset dyspnoea, epigastric and thoracic pain, and nausea. Clinical examination was in addition to pressure pain and resistance in the epigastrium normal. Laboratory results showed an elevation of inflammation markers (C-reactive protein, 9 mg/dl) and elevated liver (γ-glutamyl transferase, 324 U/l; alkaline phosphatase, 308 U/l) and pancreatic enzymes (amylase, 181 U/l; lipase, 93 U/l).

    A computed tomography scan of the abdomen and thorax was performed (figs 1–3).

    Figure 1

    Sagittal reconstruction of the abdominal and thoracic computed tomography scan.

    Figure 2

    Axial reconstruction of the abdominal and thoracic computed tomography scan.

    Figure 3

    Coronal reconstruction of the abdominal and thoracic computed tomography scan. …

    View Full Text

    Footnotes

    • Robin Spiller, Editor

    • Competing interests None.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.