41 year-old female with failure to thrive and abdominal pain

Abstract

A 41 year old female was seen for persistent sharp intermittent pelvic pain associated with a change in bowel pattern. She also complained of early satiety, bloating, and a seventeen pound weight loss over the last two months. She adhered to a low fat diet and had no complaints of mal-absorption or steatorrhea. She had a negative workup including a pelvic ultrasound and a laparoscopy. A colonoscopy by a non-gastroenterologist was not revealing due to inadequacy of prep despite her completing of the prep.