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Clinical introduction
A 7-year-old girl was admitted to the emergency department for a 2-month history of recurrent abdominal pain, accompanied by nocturnal awakening, vomiting and interruption of daily activities. Her medical history was unremarkable, her family had recently moved from a low-income country.
At admission, the girl was afebrile, with mild abdominal tenderness without guarding. Blood tests showed neutrophilic leucocytosis (white blood cells 21 740/mL, N 18 620/mL), with haemoglobin 14 g/dL and thrombocytosis (platelets 685 000/mL) with C-reactive protein (CRP) level (0.5 mg/dL, normal range 0–0.5 mg/dL). An abdominal ultrasound scan failed to show abnormalities. Twelve hours after admission, the abdominal pain worsened, the temperature spiked to 39°C, the abdominal examination showed …
Footnotes
Contributors AT wrote the first draft of the manuscript. PF followed clinically the patient. EB and FP made the revision of the manuscript.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; internally peer reviewed.
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