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An unusual cause of abdominal pain
  1. Jiarong Ye,
  2. Weiliang Wang,
  3. Zhongde Zhang
  1. The Second Affiliated Hospital of Guangzhou University of Chinese Medicine (Guangdong Provincial Hospital of Chinese Medicine), Guangzhou, Guangdong, China
  1. Correspondence to Mr Weiliang Wang; wwldoctor{at}

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Clinical introduction

A 39-year-old woman who was maintained on peritoneal dialysis (PD) for 25 years was admitted to ED with a 2-week history of abdominal pain and vomiting. She had been taking midodrine for several years because of low blood pressure but she had no medical history of diabetes or hypercholesterolaemia. On clinical examination, she presented with middle abdominal tenderness, no rebound tenderness and negative Murphy’s and McBurney’s signs. The laboratory examination showed that her leucocyte count was 9.45×10 …

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  • Contributors JRY cared for the patient. JRY and WLW wrote the report and collected the images. ZDZ revised the report and supervised the project.

  • Funding This work is supported by Research Project of Traditional Chinese Medicine Bureau Of Guangdong Province (20201143).

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; internally peer reviewed.