A 54-year-old man had edema in the lower legs since 1-month and abdominal pain since 1 week. The abdominal pain was worsened with eating.
On following days, he had intermittent nausea, early satiety, and diarrhea, however, no fevers, chills or vomiting. Past Medical History No known medical history other than obsessive-compulsive personality disorder Drugs : No illicit-drug use Alcohol : No Medications : Probiotic supplement and vitamin A (100 IU) daily Family history : Mother had had coronary artery disease; no family history of gastrointestinal or liver disease Physical Examination Patient appeared cachectic but was not in distress Vital signs: Pulse, 66 beats/min; RR, 14 breaths/min; BP, 103/73 mm Hg; oxygen saturation, 99% Cardiac examination : Normal Abdominal examination Abdomen was distended, with bulging flanks and a fluid wave, but was nontender and without palpable…
