A 25-year-old female from a rural area presented to our hospital with symptoms of abdominal pain and discomfort lasting 1 year. Physical examination and all routine investigations were normal. Ultrasonography of the abdomen and an upper gastrointestinal endoscopy were done; findings were also within normal limits. The symptoms persisted with the patient requiring anti-spasmodic drugs intermittently. A barium meal follow-through was performed (Figures 1 and 2).

Author information: Ankit Shrivastav, MD Resident; Jyotyrmoy Pal, Consultant, Department of Internal Medicine, Institute of Post Graduate Medical Education & Research (SSKM Hospital), Kolkata, West Bengal, India

Correspondence: Ankit Shrivastav, R – 235 , Junior Doctors Hostel , SSKM Hospital , 242 AJC Bose road, Kolkata – 700020, India. Email: ankit.dr@gmail.com