Abstract
A 35-year-old woman is referred for evaluation of a 6-month history of unexplained intermittent postprandial epigastric pain, nausea, and vomiting. She denies weight loss. Her current pain is similar to the pain she experienced before her cholecystectomy performed 2 years earlier. Trials of high-dose proton pump inhibitors and antispasmodics have been ineffective. Physical examination reveals only mild epigastric and right upper-quadrant tenderness. During an emergency room visit for abdominal pain, her complete blood count was normal.
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