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Volume 83 - 2020 - Fasc.2 - Clinical images

Incomplete intestinal obstruction

A 51-year-old man presented with a three-month history of intermittent abdominal pain accompanied by nausea and vomiting. Clinical examination showed a slightly tender abdomen without palpable mass or signs of peritonitis. Digital rectal examination was unremarkable. His laboratory investigations were normal except for mild leukocytosis (12.50 × 109/L). Abdominal CT scan revealed two remarkable intra-abdominal mass lesions with slightly dilated proximal intestinal loops but without signs of perforation or intraperitoneal collections (Figure 1). What is your diagnosis and how it is managed?


A bag of diamonds

A 63-year-old man with a psychiatric background presented for cardiac evaluation. Coronary angiography incidentally revealed a remarkable image of the left hypochonder (Fig. 1A). What do you see and what is your differential diagnosis?