Rapunzel syndrome is a condition where trichobezoar formed in the stomach and proximal intestine due to hair ingestion. A 6-year-old girl presented emergency department with abdominal pain, vomiting palpable epigastric mass. Laparotomy was performed for gastric foreign body; that filled stomach, duodenum small removed. Postoperative course uncomplicated; patient discharged further out-patient f...

Gastric neuroendocrine carcinoma is a rare tumor which has a poor prognosis. Herein, we present a 55-year-old woman who presented with complaints of recurrent vomiting, hematemesis and weight loss. Endoscopic examination showed a large ulcerated mass in the antrum. Microscopic evaluation of the specimen taken through biopsy was compatible with a small round cell tumor. However, definitive histo...

Citrullinemia type I (CTLN1) is an inherited urea cycle disorder, now included in most newborn screening panels in the US and Europe. Due to argininosuccinate synthetase deficiency, CTLN1 can lead to recurrent hyperammonemic crisis that may result in permanent neurologic sequelae. Vomiting in patients with urea cycle disorders may either be the result or cause of acute hyperammonemia, particula...

Address correspondence to: Dr. Bhanu Sunku Division of Pediatric Gastroenterology & Nutrition Floating Hospital for Children at Tufts Medical Center 800 Washington Street #213 Boston, MA 02111; Tel: 617-636-3266; Fax: 617-636-8718. Abstract: Initially described in children, cyclic vomiting syndrome (CVS) is an idiopathic disorder that affects patients of all ages and is characterized by recurre...

The cyclic vomiting syndrome (CVS) is an infrequent condition in pediatric practice, in which recurrent vomiting episodes are followed by asymptomatic periods. The authors report the case of an 8-year and 2-month old child who had been hospitalized on several occasions for persistent vomiting accompanied by nausea, and periumbilical and epigastric abdominal pain. The child's anamnesis and clini...

With interestwe read the article by Zanolini et al. about a 21 yomale with exercise-intolerance since age 7 y, recurrent vomiting since age 17 y, muscle wasting, decreased tendon reflexes, high-arched palate and mal-occlusion detected at age 20 y, exercise-induced supraventricular tachycardia, and lactic acidosis due to a ND2 mutation [1]. The patient profited from coenzyme-Q [1]. We have the f...

Abdominal pain and vomiting are common presentations to the emergency medical ward. Management of recurrent abdominal can be difficult, especially in patients who have diabetes. People with diabetes present that cause a diagnostic dilemma. Are symptoms due an acute or chronic complication their other causes? In also use cannabis, further challenges arise as diabetic gastroparesis cannabinoid hy...