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Abdominal Pain Caused by a Potentially Fatal Attraction

Mercurio, Danielle Claire DO*; Scace, Candace MD; Shah, Bhairav MD; Weiner, Evan MD*; Prasad, Rajeev MD

doi: 10.1097/PEC.0000000000000954
Illustrative Cases

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.

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