Al-Mahrouqi Tamadhir, Al Busaidi Salim A, Al Alawi Abdullah M
Psychiatry, General Foundation Program, Oman Medical Specialty Board, Muscat, OMN.
Medicine, Sultan Qaboos University Hospital, Muscat, OMN.
Cureus. 2020 Nov 25;12(11):e11695. doi: 10.7759/cureus.11695.
A 27-year-old man presented to the emergency department with nausea, vomiting, and abdominal pain. He had been having similar episodes for the last seven years, and all of the previous workups had been unremarkable. After excluding all organic causes of his presentation, the patient was diagnosed with cyclic vomiting syndrome (CVS) and managed accordingly. He has shown remarkable improvement and no further attack has been reported for almost five months since the diagnosis was made. This case report highlights the diagnostic challenge represented by CVS. Also, it summarizes the main aspects of management to achieve and maintain the remission of the condition.
一名27岁男性因恶心、呕吐和腹痛前往急诊科就诊。在过去七年中,他曾有过类似发作,之前所有的检查均无异常。在排除了导致其症状的所有器质性病因后,该患者被诊断为周期性呕吐综合征(CVS)并进行了相应治疗。自确诊以来,他已显著改善,近五个月未再出现发作。本病例报告强调了CVS所带来的诊断挑战。此外,它总结了实现并维持病情缓解的主要治疗方面。