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Rare cause of chronic abdominal pain
  1. Maqsood Ahmed Khan1,
  2. Sonu Dhillon2
  1. 1Department of GI, Hepatology and Nutrition, Cleveland Clinic, Cleveland, Ohio, USA
  2. 2Department of Gastroenterology and Hepatology, Loyola University Medical Center, Maywood, Illinois, USA
  1. Correspondence toDr Maqsood Ahmed Khan, Division of Gastroenterology, Hepatology and Nutrition, Cleveland Clinic, 9500 Euclid Ave, Cleveland, OH 44195, USA; smartmax74x{at}

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Clinical presentation

A 28-year-old female presented with severe epigastric pain and left upper quandrant pain of 6 days duration, which was progressive, burning in nature without radiation. Associated symptoms were weakness, and nausea and vomiting for all solids and liquids over the last 2 days. She denied any changes in bowel habits, blood in stool, haemetamesis, fever or chills. Her past medical history was significant for depression, irritable bowel syndrome and cholecystectomy. She had two previous episodes of similar abdominal pain. The …

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  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.