Rare, Overlooked, or Underappreciated Causes of Recurrent Abdominal Pain: A Primer for Gastroenterologists

Clin Gastroenterol Hepatol. 2023 Feb;21(2):264-279. doi: 10.1016/j.cgh.2022.09.022. Epub 2022 Sep 27.

Abstract

Recurrent abdominal pain is a common reason for repeated visits to outpatient clinics and emergency departments, reflecting a substantial unmet need for timely and accurate diagnosis. A lack of awareness of some of the rarer causes of recurrent abdominal pain may impede diagnosis and delay effective management. This article identifies some of the key rare but diagnosable causes that are frequently missed by gastroenterologists and provides expert recommendations to support recognition, diagnosis, and management with the ultimate aim of improving patient outcomes.

Keywords: Allergic; Chronic Abdominal Wall Pain; Familial Mediterranean Fever; Porphyria; Vascular.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Abdominal Pain / diagnosis
  • Abdominal Pain / etiology
  • Chronic Pain*
  • Diagnosis, Differential
  • Emergency Service, Hospital
  • Gastroenterologists*
  • Humans