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A 15-year-old girl was referred to the hospital because of abdominal pain and bloody stools.
The patient had been in excellent health until 26 weeks earlier, when she began to have mild periumbilical pain, usually after the evening meal, without radiation to the back. She passed small amounts of blood with several stools and sometimes noted blood dripping into the toilet bowl. She continued to have periumbilical pain. The results of laboratory studies performed at that time and on four subsequent occasions before admission are shown in Table 1 and Table 2. A stool culture was negative; Clostridium difficile
Differential Diagnosis
Clinical Diagnosis
Dr. Keith J. Benkov's Diagnosis
Pathological Discussion
Anatomical Diagnosis
References
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