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Chronic intermittent or steady abdominal pain in adults is commonly encountered and may be due to a large variety of syndromes many of them with no demonstrable anatomical abnormality (irritable bowel syndrome, functional dyspepsia), but some involving occult structural, neoplastic or inflammatory conditions that may present a considerable diagnostic difficulty. We present a patient with a clinical entity that deserves better recognition, first suspected by its typical imaging findings.
A healthy elderly patient presented with several months’ history of diffuse abdominal pain of mild to moderate intensity becoming relentless with time with no associated weight loss, fever or anorexia. Examination, X-rays, laboratory tests, gastroscopy and colonoscopy were normal and no diagnosis was reached over several months.
On admission, abdominal CT revealed lymphadenopathy (up to 3.0×1.5 cm) and …
Contributors Each of the authors participated in the treatment of the patient (AS, main responsible physician) and in writing the manuscript.
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.
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