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An unusual cause of lower abdominal pain in pubertal girls
  1. R Hingorani1,
  2. A Swain2
  1. 1
    Emergency Department, Wellington Hospital, Wellington, New Zealand
  2. 2
    University of Otago Wellington, Wellington Hospital, Wellington, New Zealand;
  1. Correspondence to Dr R Hingorani, Emergency Department, Wellington Hospital, Private Bag 7902, Wellington, New Zealand; rajahingorani{at}


A rare cause of acute lower abdominal pain in pubertal girls is described. The diagnosis is often missed at initial presentation and this may result in multiple presentations to the emergency department or general practitioner. The clinical features, diagnosis, management and possible complications of this condition are discussed. The case illustrates the importance of keeping this diagnosis in mind when seeing teenage girls with lower abdominal pain.

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  • Competing interests None.

  • Patient consent Obtained.

  • RA saw the patient, did the literature review and wrote the case report. AS supervised and edited the paper.

  • Provenance and Peer review Not commissioned; not externally peer reviewed.