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[Clinical Picture] An unusual medical cause of abdominal pain diagnosed by urological abnormalities

In February, 2014, a 14-year-old girl with no medical history presented to the emergency department with a 2 day history of severe abdominal pain associated with non-bilious vomiting. On examination she had pallor and diffuse abdominal tenderness with guarding and sluggish bowel sounds but no rigidity. She had haemoglobin 88 g/L, total leucocyte count 3·6 × 109/L, platelets 96 × 109/L, and erythrocyte sedimentation rate (ESR) 54 mm/h. Urinalysis was normal and blood and urine cultures were sterile.

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