Case of the Month March 2014

Submitted by Christine Ghatan, MD, and Thomas J. Learch, MD.

A 41-year-old female with history of Peutz-Jegers disease presents to the hospital with nausea and vomiting. On examination, her abdomen is distended and tender to palpation. Her laboratory findings are normal.
What is at the top of your differential diagnosis?
a) bowel obstruction
b) acute appendicitis
c) urolithiasis
d) gastroenteritis

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