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Case 12 

Case 12
Chapter:
Case 12
Author(s):

Alissa J. Walsh

, Otto C. Buchel

, Jane Collier

, and Simon P.L. Travis

DOI:
10.1093/med/9780199557899.003.12
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date: 22 October 2019

A 76-year-old man from London presented with a 2-year history of diarrhoea. He reported passing 4–7 loose, oily stools per day. He described the stool as looking like ‘axle grease’. Over the 2-year period he had lost 4kg, but his weight had recently been stable. He had a history of cerebrovascular disease with dementia, ischaemic heart disease, and gout, and had had a gastroenterostomy and vagotomy in 1961 for duodenal ulceration. He neither smoked nor drank alcohol.

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