Case presentation A 66-year-old woman presents with a complaint of weight loss. She says that her weight was 70 kg six months ago, but over the past several months, it has steadily dropped to 47.7 kg. She attributes her weight loss to an inability to eat. She indicates that whenever she tries to eat a meal, she develops intense abdominal pain that is severe and diffused throughout the entire abdomen. To avoid this pain, she has limited herself to small meals and soups. She denies any fever, malaise, nausea, vomiting, or constipation.
PMH : Hypertension; she takes an angiotensin-converting enzyme inhibitor. Physical examination: Her skin and sclera are nonicteric, and bilateral carotid bruits are present. The results of her cardiopulmonary examination are unremarkable. The abdomen is scaphoid, nontender, and without masses. Her stool is Hemoccult negative. Her femoral pulses are…
