Weight loss and abdominal pain in a young woman: Gastric trichobezoar

Inflammatory myofibroblastic tumour (IMT) is a rare mesenchymal tumour. It is usually benign but may behave as a malignant tumour with multiple recurrences and metastases. We present the case of a young woman with weight loss associated with diffuse abdominal pain, who was shown to have a large pancreatic mass. Investigation revealed fusocellular mesenchymal neoplasia, compatible with the diagnosis of IMT. As the mass was unresectable, glucocorticoid therapy was initiated with an excellent response and regression of the tumour.

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Diabetic thoracic radiculopathy: a case of a young woman with clinical improvement following immunotherapy

BMJ Case Reports ◽

10.1136/bcr-2020-236412 ◽

2020 ◽

Vol 13 (12) ◽

pp. e236412

Author(s):

Alfonsa C Taiello ◽

Vincenzo La Bella ◽

Rossella Spataro

Keyword(s):

Abdominal Pain ◽

Young Woman ◽

Clinical Improvement ◽

Type I Diabetes ◽

Severe Abdominal Pain ◽

Full Recovery ◽

Type I ◽

Sustained Improvement ◽

Immune Mediated ◽

Paravertebral Muscles

Thoracic radiculopathy is a rare cause of thoracic-abdominal or abdominal pain in subjects with poorly controlled diabetes. We present a case of a young woman with type I diabetes and a severe abdominal pain in both lower quadrants. An extensive diagnostic gastroenterological and gynaecological workup did not disclose abnormalities. Electromyography revealed an initial polyneuropathy and significant neurogenic abnormalities in the T10-T12 paravertebral muscles. Following the hypothesis that the radiculopathy-related abdominal pain might have an immuno-mediated pathogenesis, the patient underwent a complex trial of immunotherapy, which was accompanied by a sustained improvement over months to full recovery. This report would support the hypothesis that immune-mediated mechanisms are still active even months after onset of symptoms.

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Seronegative Arthritis as a Complication of Whipple’s Disease

Clinical Medicine Insights Case Reports ◽

10.1177/11795476211017717 ◽

2021 ◽

Vol 14 ◽

pp. 117954762110177

Author(s):

Rebecca DeBoer ◽

Sahani Jayatilaka ◽

Anthony Donato

Keyword(s):

Rheumatoid Arthritis ◽

Weight Loss ◽

Abdominal Pain ◽

Gastrointestinal Symptoms ◽

Whipple’S Disease ◽

Seronegative Arthritis ◽

Whipple's Disease ◽

Caucasian Male

Whipple’s disease (WD) is an uncommon cause of seronegative arthritis. WD is known for its gastrointestinal symptoms of diarrhea, weight loss, and abdominal pain. However, arthritis may precede gastrointestinal symptoms by 6 to 7 years. We describe a case of an 85-year-old Caucasian male with multiple joint complaints, not responsive to traditional treatments for conditions such as rheumatoid arthritis and osteoarthritis. We suggest that WD be considered for seronegative arthritis especially affecting large joints.

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Young Woman with Periumbilical Abdominal Pain

Annals of Emergency Medicine ◽

10.1016/j.annemergmed.2021.03.008 ◽

2021 ◽

Vol 78 (3) ◽

pp. e27-e28

Author(s):

Jun Huang ◽

Li Li

Keyword(s):

Abdominal Pain ◽

Young Woman

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Endoscopic Evaluation of Symptomatic Patients following Bariatric Surgery: A Literature Review

Diagnostic and Therapeutic Endoscopy ◽

10.1155/2012/753472 ◽

2012 ◽

Vol 2012 ◽

pp. 1-8 ◽

Cited By ~ 5

Author(s):

Miral Subhani ◽

Kaleem Rizvon ◽

Paul Mustacchia

Keyword(s):

Bariatric Surgery ◽

Weight Loss ◽

Abdominal Pain ◽

Drug Therapy ◽

Upper Gastrointestinal Bleeding ◽

Comorbid Conditions ◽

Endoscopic Evaluation ◽

Number Of Patients ◽

Upper Gastrointestinal

Obesity is an epidemic in our society, and rates continue to rise, along with comorbid conditions associated with obesity. Unfortunately, obesity remains refractory to behavioral and drug therapy but has shown response to bariatric surgery. Not only can long-term weight loss be achieved, but a majority of patients have also shown improvement of the comorbid conditions associated with obesity. A rise in the use of surgical therapy for management of obesity presents a challenge with an increased number of patients with problems after bariatric surgery. It is important to be familiar with symptoms following bariatric surgery, such as nausea/vomiting, abdominal pain, dysphagia, and upper gastrointestinal bleeding and to utilize appropriate available tests for upper gastrointestinal tract pathology in the postoperative period.

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