A Man with Diarrhea and Back Pain

New England Journal of Medicine 372(15):e21 (2015) PMID 25853769

This interactive feature presents the case of a 43-year-old man with a 6-week history of constant and diffuse abdominal pain and diarrhea six to seven times daily. Test your diagnostic and therapeutic skills at NEJM.org. A 43-year-old man presented with a 6-week history of abdominal pain and diarrhea. The pain was initially epigastric and occurred after eating but then became more constant and diffuse. The patient rated the pain at 7 on a scale of 0 to 10, with 10 being the most severe pain. The diarrhea began gradually and was watery, occurred six or seven times daily (including while the patient fasted, at night) …

DOI: 10.1056/NEJMimc1406170