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A 10-year-old girl was admitted to the hospital because of abdominal pain, vomiting, and fever.
She had been in excellent health until about 18 months earlier, when she had the first of several bouts of severe pain in the right lower quadrant; each episode of pain persisted for an hour or two, was sometimes followed by nausea and vomiting, and then resolved. Six months before admission, she was taken to another hospital because of pain in the right flank. The results of an abdominal ultrasonographic study were unremarkable.
One month later, after another episode of abdominal pain, the girl was
Differential Diagnosis
Neoplastic Ovarian Masses
Non-Neoplastic Ovarian Masses
Adnexal Torsion
Meigs' Syndrome
Massive Ovarian Edema
Clinical Diagnosis (From the Medical Record)
Dr. Dawn M. McGee's Diagnoses
Pathological Discussion
Anatomical Diagnosis
Source Information
From Vincent Obstetrics and Gynecology Service (D.M.M.) and the Departments of Radiology (S.A.C.) and Pathology (R.H.Y.), Massachusetts General Hospital; and the Departments of Obstetrics, Gynecology, and Reproductive Biology (D.M.M.), Radiology (S.A.C.), and Pathology (R.H.Y.), Harvard Medical School both in Boston.
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