Abstract
Henry, a 12-year-old patient, presented to his GP with a four-month history of right sided and upper abdominal pain. There have been no changes in his bowel habits and no weight loss. The physical examination was normal with the exception of a body mass index of 30 which put the patient into the obese category. Henry had previously been well with no significant health issues. The only family history of note was one of inflammatory bowel disease on the maternal side of the family. Blood sampling at the GP surgery was made difficult due to the patient's needle phobia and only a small amount of blood could be taken.
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