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- abdominal pain
- intestinal mucosa
- intestinal obstruction
- cryptogenic multifocal ulcerating and stenosing enteritis (CMUSE)
A 39-year-old woman presented with an 18-month history of episodic severe nausea, vomiting, diarrhoea and 30 kg weight loss requiring multiple hospital admissions. Her past medical history included hypothyroidism, migraines and lower back pain for which she used paracetamol, codeine and intermittent diclofenac up to 150 mg per day for up to a week during exacerbations.
C reactive protein and erythrocyte sedimentation rate were raised up to 89 mg/l and 80 mm/h respectively during some of these admissions. She was iron, vitamin B12 and …
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.