Case report: Epigastric abdominal pain from beverage ingestion of freshly squeezed juice of the Hardy Orange Flying Dragon plant (Poncirus trifoliata)

Abstract

We report the case of a 25-year-old male who presented to the Emergency Department (ED) with severe epigastric abdominal pain immediately after ingesting a freshly squeezed beverage form of Flying Dragon Hardy Orange plant (Poncirus trifoliata). Poisoncontrol was contacted and recommended symptomatic treatment only. The patient’s painresolved while in the emergency department. Seed and rind preparations have been used as an herbal remedy in East Asia. A number of research articles point to ongoing investigations into the antiinflammatory and possible antiviral properties of Poncirus species. Freshly squeezed Poncirus trifoliata can cause significant abdominal pain.