Skip Navigation LinksHome > Education > e-Atlas > Case Dx

CASE#: 000014
Muhammad Pathan
Sep 11, 2012 - 04:47 PM
60 yo male with recent onset of abdominal pain, shortness of breath. CXR was concern for pneumonia. CT of abdomen and pelvis performed using IV contrast dye and swallow of gastrografin showed pericardial effusion, nodular lesions in lung pneumatosis of small bowl. Blood culture was positive for clostridium perfringens. Overall clinical impression was hypotension, ischemic bowl with pneumatosis, sepsis, pneumonia andpericardial effusion.  PMD: multiple medical problems including GERD, multiple episodes of aspiration pneumonia, pericardial effusion, ?sarcoidosis, malnutrition. Multiple abdominal surgeries including Nissan fundoplication for refractory GERD.

Post your comment / review

Reviewers diagnoses
[irfan basheer] - Mar 24, 2013 02:39 AM (UTC-6) | [Not an unusual case] | Reply
Mr. Muhammad Patthan, will you kindly let us know about the whole work up done for this very patient?
it may be some parasite getting calcified...

[Charles Green] - Sep 18, 2012 06:50 PM (UTC-6) | [Not an unusual case] | Reply
I saw this case that reminded me of one of my cases a while back. My case turned out to be calcifications. Do some calcium stains on it.