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Updated: Jun 1, 2026

Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Acute Intermittent Porphyria: Some Diagnoses are Only Made If Thought of
J A Fox1, M A Fox, R L Westwood
1SpR in Geriatric Medicine, Department of Medicine, Royal Blackburn Hospital, East Lancashire Hospitals NHS Trust.
Abstract:
A 20-year-old Asian, female, student nurse of thin body habitus (Body Mass Index 16.5) but otherwise previously well had numerous admissions to our centre under a variety of surgical sub-specialities over a 5-month period. Each month, coinciding with menses, she complained of non-specific abdominal discomfort in the absence of any other symptoms. With the exception of the presence of a sinus tachycardia coupled with incidental hyponatraemia full physical examinations and routine baseline investigations were unremarkable.
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