Introduction: Abdominal epilepsy is a rare neurological condition characterized by episodic abdominal pain, often accompanied by epileptic or gastrointestinal symptoms. It remains underdiagnosed due to its atypical presentation and the lack of awareness among healthcare professionals. Case report: The subject of this report is a 23-year-old male with a protracted history of episodic, severe abdominal pain. The pain episodes, characterized by their severity and abrupt onset, were frequently accompanied by vertigo and debilitating headaches, which significantly impacted his quality of life. Despite numerous consultations with various specialists, a definitive diagnosis remained elusive for many years. Discussion: A comprehensive literature review is conducted to gather data on the historical evolution, recent advancements, and management recommendations for abdominal epilepsy. Medical databases are consulted to identify relevant studies, clinical cases, and recent reviews in this field. The discussion explores the clinical implications of the results, emphasizing the importance of a multidisciplinary approach in diagnosing and managing abdominal epilepsy. Conclusion: Diagnostic challenges, therapeutic options, and future perspectives are discussed in detail, highlighting the need for increased awareness of this condition and further research to improve outcomes for patients. Early diagnosis and appropriate management can significantly enhance patient quality of life, underscoring the importance of education and research in this domain.