A 32-year-old woman was brought to the emergency unit for acute abdominal pain, diarrhea, infrequent melena, nausea, and headache. Her medical history showed a case of diet-controlled gestational diabetes. The symptoms had rapidly developed over two weeks, and she had been using ibuprofen 600 mg thrice daily for the last ten days. Physical examination Moderate distress Distended abdomen with ascites Diffuse abdominal tenderness Laboratory investigations Aerobic and acid-fast bacilli cultures of paracentesis fluid showed no growth.
C4, C1-esterase, ELISpot tuberculosis test, HIV antigen/antibody test, gonococcal/chlamydial swab, stool pathogen testing, and urine analysis all were reported to be normal. Radiological findings CT scan of the abdomen and pelvis (Cover image) revealed extensive wall thickening of the esophagus to the small bowel. Liver ultrasound with doppler was…
