Published: 5 October 2017
Author(s): Toyoaki Sawano, Yoshitaka Nishikawa, Akihiko Ozaki
Issue: October 2017
Section: Internal Medicine Flashcard

A 37-year-old man with no significant medical history presented to our emergency department with abdominal pain and vomiting since the previous day. He had experienced dysphagia when eating solids once every 2–3months for the past 5years. The patient had lost 15kilograms (kg) in the past 5years, with 7kg lost in the last 3months alongside a recently decreasing appetite.

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