Case 43081

Presentation of CaseA fifty-seven-year-old man was admitted to the hospital because of diarrhea.Twenty-one years previously a gastroenterostomy was performed at another hospital because of duodenal obstruction caused by extrinsic pressure from lymph nodes that measured 3 or 4 cm. in diameter. At operation generalized abdominal lymphadenopathy of undetermined cause was found; there was no evidence of intestinal lipodystrophy. Postoperatively, x-ray therapy was given. He remained well until four years before entry, when he began to pass frequent loose stools with a foul odor and without associated pain or melena. There was no improvement with a low-carbohydrate diet, injections . . .