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Previous Volume 328:44-47 January 7, 1993 Number 1 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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An 87-year-old woman who had suffered from chronic constipation came to the emergency room and reported having had abdominal pain for two days. It had begun in the lower abdomen while she was straining with a bowel movement. The pain was constant and later covered the entire abdomen. It increased in severity just before she came to the emergency room. She had no vomiting, diarrhea, melena, chills, or fever.

The acute onset of constant abdominal pain makes me worry most about a catastrophic cause, such as a ruptured abdominal aneurysm, but there are obviously numerous other possible causes. The age . . . [Full Text of this Article]

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