Case presentation A 40-year-old man was admitted to the Department of Internal Medicine with a one-week history of persistent vomiting, right-sided abdominal pain, and diarrhea. He also experienced unintentional weight loss associated with the current symptoms.
Medical history Arterial hypertension treated with perindopril, amlodipine, and indapamide No history of substance use and known allergies Family medical history was unremarkable. Physical examination Clinical signs of dehydration, including dry mucous membranes Hypotension ((65/40 mmHg) Tenderness in the right lower quadrant of the abdomen, without palpable masses Abdominal distension extending above the thoracic level Audible peristalsis Laboratory findings Dehydration-related kidney injury Metabolic alkalosis associated with severe vomiting Elevated inflammatory and cholestasis markers Hyponatremia Hypocalcemia…
