ABSTRACT
History A 37-year-old accountant has been referred to your outpatient clinic by his general practitioner (GP). He complains of vague abdominal discomfort, which is central, colicky and intermittent. He has been having these symptoms for as long as he can remember and was thought to have irritable bowel syndrome. They have recently been increasing in frequency and his new GP decided to investigate them further. There are no predisposing factors and he has tried several dietary changes with no resolution of symptoms. He denies any weight loss, change in bowel habit or vomiting, but suffered attacks on a weekly basis now. The pain subsides spontaneously after a few hours with no sequelae.
