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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 340:215-221 January 21, 1999 Number 3
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Case 2-1999— A 15-Year-Old Girl with Abdominal Pain and Bloody Stools
Keith J. Benkov, and Carolyn C. Compton

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Presentation of Case

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 . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Keith J. Benkov's Diagnosis

Pathological Discussion

Anatomical Diagnosis

References




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