A Case of Cyclic Vomiting Syndrome Responding to Gonadotropin-Releasing Hormone Analogue
Journal of Neurogastroenterology and Motility
;
: 77-82, 2010.
Article
Dans Anglais
| WPRIM
| ID: wpr-19185
ABSTRACT
Cyclic vomiting syndrome (CVS) is a disorder characterized by recurrent episodes of incapacitating nausea and vomiting interspersed with symptom free periods. Common triggers of cyclic vomiting include noxious stress, excitement, fatigue and menstrual period. Here, we report a case of cyclic vomiting syndrome in adult patient characterized by stereotypical vomiting attack, occurring in every menstruation period. Recurrent vomiting episodes began 6 years ago and we treated this patient with subcutaneous injection of goserelin, a gonadotropin-releasing hormone analogue (GnRHa) and oral estrogen. After 4 months of therapy, she was symptom free for the following 5 years, even with the resumed normal menstruation. Recurrence of vom - iting attack with same pattern occurred 1 month before readmission. Treatment with intravenous lorazepam aborted vomiting, but could not prevent recurrences of vomiting and epigastric pain. We treated the patient with GnRHa and oral estradiol again which effectively prevented recurrence of the symptoms.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Récidive
/
Vomissement
/
Hormone de libération des gonadotrophines
/
Goséréline
/
Oestradiol
/
Oestrogènes
/
Fatigue
/
Injections sous-cutanées
/
Lorazépam
/
Menstruation
Limites du sujet:
Adulte
/
Femelle
/
Humains
langue:
Anglais
Texte intégral:
Journal of Neurogastroenterology and Motility
Année:
2010
Type:
Article
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