title: Abdominal Pain Caused by a Potentially Fatal Attraction.
abstract: Abdominal pain is a challenging presentation in children. Examination findings and etiology vary greatly, spanning a vast spectrum from flatulence to frank peritonitis with septic shock. Here, we discuss a 10-year-old boy with 24 hours of progressively worsening lower abdominal pain, nausea, and subjective fevers. History and physical examination findings were consistent with appendicitis. However, physicians were surprised when the single-view abdominal radiograph showed an unanticipated, somewhat perplexing discovery.
authors.affiliation: From the Departments of Emergency Medicine.
authors.forename: Danielle Claire
authors.initials: DC
authors.lastname: Mercurio
authors.affiliation: Radiology, and.
authors.forename: Candace
authors.initials: C
authors.lastname: Scace
authors.affiliation: General Surgery, St Christopher's Hospital for Children, Philadelphia, PA.
authors.forename: Bhairav
authors.initials: B
authors.lastname: Shah
authors.affiliation: From the Departments of Emergency Medicine.
authors.forename: Evan
authors.initials: E
authors.lastname: Weiner
authors.affiliation: General Surgery, St Christopher's Hospital for Children, Philadelphia, PA.
authors.forename: Rajeev
authors.initials: R
authors.lastname: Prasad
mesh_terms: D015746:Abdominal Pain / Q000209:etiology*; D001064:Appendicitis / Q000175:diagnosis; D002648:Child; D003937:Diagnosis, Differential; D004435:Eating; D005547:Foreign Bodies / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology / Q000601:surgery; D010535:Laparoscopy / Q000379:methods; D007813:Laparotomy / Q000379:methods; D008297:Male