A high comorbidity is known to exist between psychiatric illness and chronic pain (I. Elman, J.K. Zubieta, D. Borsook. The missing p in psychiatric training: why it is important to teach pain to psychiatrists. Arch Gen Psychiatry 2011;1:12-20). We report on the case of a middle-aged woman for whom preexisting psychiatric illness with a concurrent affective episode may have contributed to the failure by an array of clinicians across specialties to recognize an evolving surgical emergency.
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