A 42-year-old woman presents to your offi ce again aft er 16 years of intermittent severe left lower

A 42-year-old woman presents to your offi ce again aft er 16 years of intermittent severe left lower quadrant abdominal pain. She denies having weight loss, fever, or chills. Th e cause of her symptoms is not apparent from previous workups, which included a complete blood cell count, electrolyte evaluations, urinalysis, computed tomographic scan of the abdomen and pelvis, colonoscopy, and gynecologic examination. She has previously been thoroughly evaluated for episodic dizziness, headaches, fl ulike syndromes, back pain, and pain with intercourse. Th e results of all these workups were negative. What is the most likely diagnosis? a. Conversion disorder b. Somatization disorder c. Hypochondriasis d. Body dysmorphic disorder e. Factitial disorder