Episodic Abdominal Pain-An Unexpected Cause for a Common

J Gen Intern Med · Jul 2024

Case Reports

Episodic Abdominal Pain-An Unexpected Cause for a Common Clinical Problem.

A previously healthy 55-year-old male patient presented repeatedly to the emergency department with severe episodic periumbilical abdominal pain. After an extensive diagnostic work-up and subsequent clinical deterioration, appendiceal diverticulitis was diagnosed. We identified a correlation of white blood cell counts and possibly faecal calprotectin with the clinical presentation. We suggest that appendiceal diverticulitis should be considered in middle-aged patients with recurrent episodes of abdominal pain that correlate with laboratory markers of inflammation.

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- Tim William Böttger, Matthias Turina, Falko Ensle, Daniela Mihic-Probst, Christoph Andreas Meier, and Sara Ersözlü.
- Department of Internal Medicine, University Hospital Zurich, University Zurich, Zurich, Switzerland. t.boettger@med.uni-frankfurt.de.
- J Gen Intern Med. 2024 Jul 1; 39 (9): 175117551751-1755.
AbstractA previously healthy 55-year-old male patient presented repeatedly to the emergency department with severe episodic periumbilical abdominal pain. After an extensive diagnostic work-up and subsequent clinical deterioration, appendiceal diverticulitis was diagnosed. We identified a correlation of white blood cell counts and possibly faecal calprotectin with the clinical presentation. We suggest that appendiceal diverticulitis should be considered in middle-aged patients with recurrent episodes of abdominal pain that correlate with laboratory markers of inflammation.© 2024. The Author(s), under exclusive licence to Society of General Internal Medicine.

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Episodic Abdominal Pain-An Unexpected Cause for a Common Clinical Problem.

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