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- W4214713082 abstract "A 54-year-old woman with a history of scleroderma and a remote history of caesarean section presented with a 2-month history of nausea and abdominal distention. She denied abdominal pain or constipation. Her past medical history was notable for scleroderma with anti-centromere antibody and pulmonary hypertension. Her medication included beraprost, lansoprazole, mosapride, ambrisentan and tadalafil. She smoked one pack of cigarettes a day for 34 years. On arrival, she was cachexic and looked uncomfortable due to abdominal distention. Vital signs were unremarkable. The abdomen was distended and intestinal peristalsis was visible in sharp relief over the surface of abdomen (figure 1), with decreased bowel sound and no abdominal tenderness. Laboratory test showed folic acid level was 13.8 ng/mL (normal range 2.4–9.7 ng/mL). Plain radiograph of abdomen showed dilated small intestine (figure 2). CT with contrast of the abdomen demonstrated extremely dilated small intestine without obstruction or calibre change, resulting in the diagnosis with small intestinal bacterial overgrowth associated with scleroderma. Over the next several days, her symptoms improved with bowel rest, intravenous hydration and oral metronidazole." @default.
- W4214713082 created "2022-03-02" @default.
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- W4214713082 date "2020-08-17" @default.
- W4214713082 modified "2023-10-16" @default.
- W4214713082 title "Visible intestine" @default.
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- W4214713082 doi "https://doi.org/10.1136/postgradmedj-2020-138133" @default.
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