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Case 296.

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A woman experienced abdominal pain after consuming herbal medicine. Investigations revealed elevated C-reactive protein, prompting imaging and colonoscopy for diagnosis.

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Area of Science:

  • Gastroenterology
  • Internal Medicine
  • Diagnostic Imaging

Background:

  • A 55-year-old woman presented with a week of generalized dull abdominal pain.
  • She had a history of consuming herbal medicine for physical conditioning.
  • No underlying systemic diseases like diabetes, IBD, autoimmune, or CKD were noted.

Purpose of the Study:

  • To investigate the cause of abdominal pain in a patient with elevated inflammatory markers after herbal medicine use.
  • To evaluate the diagnostic utility of conventional radiography, CT, and colonoscopy in this clinical scenario.

Main Methods:

  • Patient history and physical examination.
  • Laboratory tests including serum C-reactive protein (CRP).
  • Diagnostic imaging: abdominal radiography, noncontrast CT abdomen.
  • Endoscopic evaluation: colonoscopy.

Main Results:

  • Laboratory findings were largely normal except for elevated CRP (7.719 mg/dL).
  • Initial abdominal radiography was performed.
  • Subsequent evaluations included noncontrast CT of the abdomen and colonoscopy.

Conclusions:

  • The diagnostic workup aimed to identify the source of abdominal pain and inflammation.
  • Further results from CT and colonoscopy are pending to establish a definitive diagnosis.