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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 343:127-133 July 13, 2000 Number 2
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Case 21-2000— A 13-Year-Old Boy with Genital Edema and Abdominal Pain
Thomas F. Tracy, and Fiona M. Graeme-Cooke

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Presentation of Case

A 13-year-old boy was admitted to the hospital three years and eight months before the diagnostic procedure because of abdominal pain.

Periumbilical pain had begun the day before the initial admission, after the patient had eaten cookies and an apple. He slept poorly that night, and by the next morning the pain had shifted to the right lower quadrant of the abdomen. During that day the temperature remained normal. In midafternoon he vomited 240 ml of red liquid after consuming a soft drink and was brought to this hospital. There was no history of fever, sweats, chills, nausea, vomiting, urinary . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Thomas F. Tracy, Jr.'s Diagnosis

Pathological Discussion

Anatomical Diagnosis

References



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