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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 342:801-806 March 16, 2000 Number 11
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Case 8-2000— An 8 1/2-Year-Old Girl with a Painful Abdominal Mass
Michael R. Curci, and Carolyn C. Compton

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Presentation of Case

An 8 1/2-year-old girl was admitted to the hospital because of an abdominal mass and pain.

The child had had recurrent abdominal pain during the preceding two years. Her mother believed that the symptoms had begun at about the time that an elevated coliform count was discovered in the local water supply. Seventeen months before admission, the girl's blood count and sedimentation rate were normal, and stool examination showed no ova or parasites. Seven weeks before admission, intermittent fevers began, with anorexia, loss of about 4.5 kg in weight, and a reduction in the frequency of bowel movements. Six weeks . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Michael R. Curci's Diagnosis

Pathological Discussion

Anatomical Diagnosis

References



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