Pain Abdomen: Journey of a Young Lady from a Gastroenterologist to a Neurologist

Background: A neurologist treating a case of pain abdomen is quite a surprise to many!! But scarcely, it may happen like that. It is because the disease porphyria can present to the Department of Neurology with neuropathy and can at times present with recurrent pain abdomen as well. In such cases, neurogenic inflammation leads to pain abdomen. This pain in the abdomen can be misdiagnosed initially by clinicians and treated symptomatically. However, it is of prime importance to diagnose this entity early because, with each bout of attack, neuropathy progresses. Again, certain drugs must be avoided as they can precipitate acute attacks. We present here a case of a young lady with recurrent pain abdomen who was treated by multiple gastroenterologists symptomatically and finally turned out to be a case of porphyria. Keywords: Neurogenic Pain Abdomen, Porphyria, Recurrent Pain Abdomen.