ABSTRACT
This chapter presents a case of a 43-year-old woman who has been coming to her general practitioner (GP) for 3 years with pelvic pain. She has seen two different gynaecologists in that time and has had numerous investigations, but a cause has not been identified. Prior to this she had right-sided hypochondrial pain for a 2-year period and received a computed tomography (CT) scan and two ultrasounds that showed no abnormalities, before the symptoms spontaneously remitted. In her notes it shows that in her early thirties she was investigated for central chest pain and difficulty swallowing. An endoscopy, CT scan of her chest and chest X-rays were all normal. She has had irritable bowel syndrome since she was 16. She has intermittently been off work but has never been off long term and enjoys her role as a receptionist at the local hospital's patient advice and liaison service.
