29th September 2021

A 29-year-old female presents to her general practitioner (GP) with a week’s history of severe abdominal pain

A 29-year-old female presents to her general practitioner (GP) with a week’s history of severe abdominal pain and diarrhoea. There is no significant past medical or family history. She has only recently moved to the UK from Egypt, where she had worked in river irrigation for most of her life. On examination, there is mild abdominal distension and hepatosplenomegaly.

Which of the following is the most likely diagnosis?

Select the SINGLE most appropriate option from the list below. Select ONE option only.