BACKGROUND Restless abdomen is a rare phenotypic variant of restless legs syndrome (RLS), characterized by visceral discomfort and an urge to move localized to the abdominal region. Due to its atypical presentation, it is frequently misdiagnosed as a primary psychiatric or functional gastrointestinal disorder, leading to ineffective management. CASE SUMMARY We report the case of a 55-year-old female presenting with significant visceral discomfort and an irresistible urge to move localized to the