Abdominal pain in a 93-year-old male. What is the cause?

Author: V. Dimov, M.D.
Reviewer: A. Aneja, M.D.

A 93-year-old African American male (AAM) had an outpatient work-up and a CT scan of the abdomen was done. The report is pending.

Past medical history (PMH)

Deep vein thrombosis (DVT) 10 years ago.

Medications

Coumadin (warfarin).

Social history (SH)

He drinks 60 oz of vodka daily, quit smoking 50 years ago.

Physical examination

Elderly gentleman in no apparent distress (NAD).
Vital signs stable (VSS), the rest of the examination was unremarkable.

What do you see in the images of the CT of the abdomen below:


(click to enlarge the images).


(click to enlarge the images).


(click to enlarge the images).

Click here for the answer and final diagnosis in this case.

Published: 04/11/2006
Updated: 07/05/2009

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