Quiz : Abdominal pain in a patient with Paroxysmal Nocturnal Hemoglobinuria
| Journal | Volume 78 - 2015 |
| Issue | Fasc.4 - Clinical images |
| Author(s) | Taylan Kav |
| Full article |
 VIEW FREE PDF |
| Associate Professor of Gastroenterology, Department of Gastroenterology, Hacettepe University School of Medicine, Ankara, Turkey. |
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A 42-year old man presented to emergency room with abdominal pain, nausea and vomiting for the last 4 days. He was diagnosed as Paroxysmal Nocturnal Hemo- globinuria (PNH) a year before and he had thrombocyto- penia due to PNH. Physical examination revealed abdominal distention and abdominal sensitivity with re- bound tenderness. His international normalized ratio (INR) was 1.12 and platelet count was 14000/mm3. What would you recommend for the evaluation of abdominal pain and what is your diagnosis ? |
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© Acta Gastro-Enterologica Belgica. PMID 26712063 |
