A 78-year-old woman came to our attention with an 18- month history of delayed postprandial nausea and vomiting associated with significant weight loss (about 20 kg in the past year). The patient denied a previous history of abdomi- nal pain or discomfort. She had never undergone an abdom- inal surgical procedure. She was on corticosteroids and tocilizumab for rheumatoid arthritis.
