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CASE 2

A 68 - year old woman presented at the Gastroenterology Clinic with a 4 month history of central abdominal pain and abdominal distention approximately 20 - 30 minutes after eating and lasting for up to several hours. Pain does not radiate to anywhere and occasionally associates with nausea and vomiting. This was associated with significant weight loss. His past medical history revealed ischaemic heart attack. She smoked 12 cigarettes a day and drank moderate amounts of alcohol. Abdominal examination is normal. On auscultation, bruit is heard over the left femoral artery. Following investigations are carried out.

Electrocardiogram - old anterior myocardial infarction.
Stool for occult blood - negative
Barium meal and follow through - no abnormality found
Colonoscopy - no abnormality found

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What is the most likely cause for her abdominal pain?

1. acute gastritis.
2. Chronic gastric ulcer.
3. Mesenteric angina.
4. Angina pectoris.
5. Colon carsinoma.

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