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March 12, 2020

Virtual Fellows Case Conference: Joint pain and belly aches

Can you diagnose this 41-year-old man with recurrent epigastric abdominal pain and seronegative rheumatoid arthritis?
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Presenting the first in the 2020 Virtual Fellows Case Conference is Iris Wang, MD, of Mayo Clinic in Rochester, Minnesota. She shares on AGA Community that her patient’s pain is worse after eating and can be relieved by vomiting, but has required several emergency department visits.

“CT scan performed showed at least 3 mid-to distal ileal circumferential small bowel strictures associated with mesenteric lymphadenopathy and small bowel obstruction.”

In the second part of her presentation, Dr. Wang shares conclusions on differential for the etiology of these small bowel strictures, as well as the portions of the patient’s history that put him at risk for these diagnoses.

View the full case presentation from this month’s featured fellow on AGA Community.

AGA member trainees: Submit your case presentations to be considered and featured in 2020. Before you submit, view the case report format instructions.

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