Abstract
Question: A 71-year-old, bedridden man with a history of intracranial hemorrhage and hypertension was transferred to our emergency department after experiencing epigastric pain for 2 days. He had right-sided hemiparesis as a result of an intracranial hemorrhage 10 years ago. He was transferred from another hospital with computed tomography (CT) scan that showed wall thickness of the duodenum (Figure A). He was conscious and alert, but uncooperative. A physical examination showed a soft abdomen, without peritoneal signs or abdomen fullness.
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