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Uncommon Side Effect of a Common Medication - Case 2


Presentation

45-year-old African American female presented with 4-day history of nausea, vomiting, abdominal pain and diarrhea.  On examination, she had diffuse abdominal tenderness.  She had recently been started on a medication for hypertension.

Test results:

Laboratory test: mild leucocytosis and lactic acidosis
CT scan of abdomen and pelvis: circumferential small bowel wall edema and fold thickening with hyperenhancing mucosa and edematous submucosa resulting in mural stratification, intraluminal fluid accumulation as well as mesenteric vascular engorgement and ascites.

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