Case report: A young female with epigastric pain, functional dyspepsia, and chronic cholecystitis diagnostic and therapeutic challenges
Paper Details
Case report: A young female with epigastric pain, functional dyspepsia, and chronic cholecystitis diagnostic and therapeutic challenges
Abstract
Young adults face a diagnostic challenge when experiencing epigastric pain because it can stem from organic conditions such as gastritis and cholecystitis or functional disorders including dyspepsia. The case demonstrates the difficulties that occur during diagnosis and treatment of gastrointestinal conditions which overlap with each other. A 19-year-old female patient experienced recurring pain in her epigastric area. The patient received unremarkable lab results but endoscopy showed grade II esophagitis together with mixed gastritis and ultrasound results confirmed chronic cholecystitis. The patient received H. pylori eradication treatment with clarithromycin/omeprazole/tinidazole and antispasmodic mebeverine and digestive enzyme pancreatin despite normal H. pylori test results. The case demonstrates the requirement for multiple evaluation methods including endoscopy and imaging and symptom evaluation when epigastric pain results from both functional and organic causes.
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