Abdominal Pain Caused by a Potentially Fatal AttractionMercurio, Danielle Claire DO*; Scace, Candace MD†; Shah, Bhairav MD‡; Weiner, Evan MD*; Prasad, Rajeev MD‡Pediatric Emergency Care: November 2018 - Volume 34 - Issue 11 - p e211–e213 doi: 10.1097/PEC.0000000000000954 Illustrative Cases Buy Abstract Author InformationAuthors Article MetricsMetrics Abdominal pain is a challenging presentation in children. Examination findings and etiology vary greatly, spanning a vast spectrum from flatulence to frank peritonitis with septic shock. Here, we discuss a 10-year-old boy with 24 hours of progressively worsening lower abdominal pain, nausea, and subjective fevers. History and physical examination findings were consistent with appendicitis. However, physicians were surprised when the single-view abdominal radiograph showed an unanticipated, somewhat perplexing discovery. From the Departments of *Emergency Medicine, †Radiology, and ‡General Surgery, St Christopher’s Hospital for Children, Philadelphia, PA. Disclosure: The authors declare no conflict of interest. Reprints: Danielle Claire Mercurio, DO, St Christopher's Hospital for Children, Philadelphia, PA. Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.