Abstract
An 86-year-old man presented with abdominal distension and septic shock after he had received 8 days of aspirin and dexamethasone treatment that was prescribed for acute paraplegia and suspected spinal cord compression. Coffee ground material was drained from a nasogastric tube, and a change in level of consciousness was also noted. On examination, a distended and tense abdomen became soft and flat about 6 h after presentation. A laboratory test revealed leukocytosis (white blood cell count 30,500/uL) without anemia (hemoglobin 14.6 g/dL).
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