Abdominal pain for 4 weeks ..

A 57-year-old male was admitted to our hospital on May 4th ,2007 for abdominal pain for four weeks accompanied with emesia and diarrhea. The clinical findings are listed in Table 1.

Past medical history and general state of health:

The patient鈥檚 past medical history was significant for spinal stenosis about two years ago, accompanied with the symmetry pain of limbs arthrosis for one year. He denied other systemic diseases and any surgical history, as well as family history of genetic disorder. Before the onset of the disease ,the patient had the history of exposure to a small amount of acetone(He is a aircraft mechanic). He denied the history of exposure to special food ,drug and toxicant.

Since the pathogenesis , the patient has no fever and night sweat, no skin petechia and skin rashes .There is a 2.5 kg weight loss recently.

Medical examination:

Left lower quadrant and superior belly had scattered tendernesses, no rebound tenderness. Other examinations were negative.

Table 1 Clinical manifestations of the patient:

Main clinical manifestations abdominal pain : Started left lower abdomen pain ,and then emerging superior belly pain, accompanied with nausea

frequent emesia : Vomiting after eating a little food, and Vomitus were a small amount of stomach contents

chronic diarrhea : watery stool, and there were no mucus ,pus and blood in the stool. More than 10 times a day ,and the quantity of toties quoties was 50-100ml.