ABSTRACT
A 24-year-old woman presented to the emergency department complaining of an 8-day history of abdominal pain and diarrhoea. She described episodes of central and right upper quadrant abdominal pain that had intensified over the past week and was now 8/10 in severity. The pain was cramping in nature and would often wake her at night. There were no exacerbating or relieving factors. She said that her stool was watery and brown without blood, mucus or visible parasites. She had unintentionally lost 13 kg in weight over the last 6 months. Her past medical history was only significant for a recent gonorrhoea infection and she took no regular medications. She worked as a shop assistant and lived with her friend. She had one regular sexual partner. She was originally from Ethiopia and had moved to the United Kingdom 4 years earlier. She had last travelled abroad 11 months ago when she had visited family in Ethiopia.
