A21-year-old female presented to the emergency department (ED) with lower abdominal pain, which had started suddenly during urination. She noted at the time of onset that she felt hot and pre-syncopal. In the ED, she described the pain as “a stitch” and rated its severity as 6/10. It was constant in nature, with no aggravating or relieving factors. Her menstrual flow had started a day earlier a...

Hypertriglyceridemia increases the risk of acute pancreatitis, accounting for a minor but clinically relevant proportion of cases. We present a case of diabetic ketoacidosis, complicated by severe hypertryglyceridemia and pancreatitis. The pancreatitis was managed and controlled by managing the hypertryglyceridemia. We aim to review the specific management targeted for this subset of the popula...

serum immunoglobulins and IgG led us to suspect the auto-immune nature of the problem. The immune-mediated hearing loss can present as a solitary event or as a part of a more generalised auto-immune disorder. It is usually bilateral and symmetrical; vertigo and tinnitus may or may not be present. Since there is no characteristic presentation, such a diagnosis should be considered in a patient p...

Recurrent episodes of abdominal pain are common in childhood. Among the diagnostic possibilities are migraine and abdominal epilepsy (AE). AE is an infrequent syndrome with paroxystic episodes of abdominal pain, awareness disturbance, EEG abnormalities and positive results with the introduction of antiepileptic drugs. We present one 6 year-old girl who had short episodes of abdominal pain since...

Recurrent abdominal pain is one of the most common presenting complaints to primary care providers and pediatric gastroenterologists. It affects up to 10% to 25% of school-aged children and adolescents and accounts for significant school loss, impaired quality of life, and parental frustration [1–3]. It continues to be misunderstood by both the medical and lay communities, often leading to unde...

Numerous medical, surgical, psychiatric, gynecologic, and obstetric disorders can cause abdominal pain during pregnancy. The patient history, physical examination, laboratory data, and radiologic findings usually provide the diagnosis. The pregnant woman has physiologic alterations that affect the clinical presentation, including atypical normative laboratory values. Abdominal ultrasound is gen...

Functional abdominal pain or functional abdominal pain syndrome (FAPS) is an uncommon functional gut disorder characterised by chronic or recurrent abdominal pain attributed to the gut but poorly related to gut function. It is associated with abnormal illness behaviour and patients show psychological morbidity that is often minimised or denied in an attempt to discover an organic cause for symp...

BACKGROUND Spinal signs found in association with atypical chest and abdominal pain may suggest the pain is referred from the thoracic spine. However, the prevalence of such signs in these conditions has rarely been compared with that in those without pain. In this study, the prevalence of spinal signs and dysfunction in patients with back, chest and abdominal pain is compared with that in pain...

a 30-year-old man presented with a nine-months history of repetitive abdominal pain simulating dyspepsia.  nine months before presentation, a local physician saw him, and he performed upper gastrointestinal endoscopy for him, and was diagnosed as a case of mild gastritis with oral omeprazole, but without any benefit. so the patient was seen at another center and was evaluated by abdominal compu...