Complicated Cases in GI

Anthony Kalloo, MD; Jonathan M. Buscaglia, MD

Chapter 29: Right Lower Quadrant Painin A 39-Year-Old Woman (continued)

Karen Krok, MD

A 39-year-old woman who emigrated from West Africa 8 years prior presented to the hospital with colicky abdominal pain occurring intermittently over the last 4 years. She described the pain as dull and crampy and radiating from the epigastrium to the suprapubic region and right lower quadrant. She originally attributed it to her menses, but over the last year the pain had occurred even during mid cycle. She also noted 20 lbs of weight loss over the last 2 months secondary to nausea, vomiting, and loss of appetite. Previous work-up for her complaints included a pelvic ultrasound demonstrating…