Abstract
presented to our hospital with a12-hourhistory of severe central abdominal pain ofacute onset, nausea, and vomiting. He had no his-tory of any abdominal surgery in the past but com-plained of rare episodes of self-limiting epigastricand periumbilical pain for years.Physical examination revealed a diffusely tenderabdomen with generalized rebound tenderness. Thewhite cell count was elevated at 12. 2 3 10
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