Case report: Small bowel carcinoma

Anamnesis: 28 year old woman, daughter of a GP, appeared with epigastric pain in our ER. The pain started first time about 6 months before entering our hospital. The evening before coming to ER the pain was first time very strong and she had a first episode of vomiting. She reported that she had many examinations at her GP and her gastroenterologist. Abdominal ultrasound, gastroscopy, colonoscopy, breath tests and lab findings were all without pathologic findings except a fructose malabsorption. Clinical findings: young woman showing signs of distress and severe diffus abominal pain. Otherwise no pathologic find…