Falcine meningioma masquerading as biliary colic - Case report and literature review

Area of Science:

• Neurology
• Gastroenterology
• Medical Diagnostics

Background:

• Right upper quadrant (RUQ) abdominal pain is a common symptom often linked to abdominal issues.
• Differential diagnosis for RUQ pain typically focuses on intra-abdominal pathologies.

Observation:

• A patient presented with RUQ abdominal discomfort, initially investigated for gastrointestinal causes.
• Symptoms progressed to include right lower limb weakness, prompting further neurological evaluation.

Findings:

• A rare structural intracranial pathology was identified as the underlying cause of the patient's symptoms.
• This case highlights an unreported etiology for abdominally-manifested seizures.

Implications:

• Intracranial pathologies should be considered in the differential diagnosis of unexplained RUQ abdominal pain.
• This case underscores the importance of comprehensive patient evaluation when initial investigations are non-diagnostic.
• Highlights novel neurological presentations mimicking common abdominal complaints.