TO THE EDITOR: I read the report on pathophysiological and psychosocial aspect of functional vomiting (FV) by Zhao et al with a great interest. The authors suggested that patients with functional vomiting have abnormal psychological status, gastric motility and hypersensitivity compared to healthy subjects. FV is defined as recurrent vomiting in the absence of all known medical and psychiatric ...

Background We report complement factor B deficiency in a 16-y-old Caucasian girl, who presented with recurrent episodes of aseptic meningitis. She presented with a 2-week history of headache, vomiting, neck stiffness, facial palsy, equilibrium problems, diplopia, and low grade temperature. 4 months prior to admission she presented with a leucocytoclastic vasculitis. MRI of the brain revealed gl...

A 3.5-year-old grossly cachectic female child presenting with recurrent vomiting, fever, abdominal distention, abdominal pain and severe weight loss was evaluated for the cause of severe protein energy malnutrition. Investigation revealed a massively dilated stomach with delayed gastric emptying and normal pylorus. On exploratory laparotomy, diagnosis of primary acquired gastric outlet obstruct...

AMI. Her physical examination, and laboratory and coagulation studies were normal. The patient received aspirin, heparin, and rt-PA, 100 mg in 90 min. During the following 12 h, the patient had recurrent episodes of vomiting and abdominal distension, and her blood pressure and hematocrit level progressively dropped. A CT scan revealed a large subcapsular HH (Fig 1) and hemoperitoneum. An angiog...

We present a case of a previously healthy 50-year-old gentleman who had recurrent vomiting and abdominal pain of two-month duration. The patient was subsequently diagnosed with abdominal cocoon on computed tomography. Idiopathic sclerosing encapsulating peritonitis, also known as abdominal cocoon, is a rare cause of small bowel obstruction. Visualization of variable encasement of the small bowe...