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Case 307.

Paul Sathiadoss1, Najla Fasih1

  • 1From the Department of Medical Imaging, The Ottawa Hospital, University of Ottawa, 501 Smyth Rd, Ottawa, ON, Canada K1H 8L6.

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Summary
This summary is machine-generated.

A 45-year-old woman experienced chronic nausea and vomiting. Diagnostic imaging, including CT and an indium 111 octreotide scan, was used to investigate her unexplained symptoms.

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Area of Science:

  • Gastroenterology
  • Nuclear Medicine
  • Radiology

Background:

  • A 45-year-old woman presented with a 4-year history of worsening nausea, nonbilious vomiting, and mild upper abdominal pain.
  • Routine investigations and tumor markers were unremarkable, necessitating further diagnostic evaluation.

Observation:

  • Clinical examination revealed stable vital signs and a benign abdominal exam.
  • Initial contrast-enhanced CT of the abdomen and pelvis showed no definitive pathology.
  • An indium 111 octreotide scan was performed subsequently for further assessment.

Findings:

  • The patient's prolonged gastrointestinal symptoms were unexplained by initial laboratory and imaging studies.
  • The diagnostic workup involved a multi-modal imaging approach.

Implications:

  • This case highlights the importance of considering advanced imaging techniques when initial evaluations are inconclusive for chronic gastrointestinal complaints.
  • Further investigation with somatostatin receptor scintigraphy (indium 111 octreotide scan) may be beneficial in diagnosing rare conditions presenting with unexplained nausea and vomiting.