Case 28-1996

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Abstract
Presentation of CaseA 45-year-old woman (gravida 3, para 0) was admitted to the hospital because of increasing lower abdominal pain.Four weeks before admission, the patient had been seen at another hospital because of lower abdominal pain on urination. A diagnosis of urinary tract infection was made at that time. The symptoms subsided after the administration of trimethoprim–sulfamethoxazole. One week later, she entered the emergency department of this hospital because of persistent lower abdominal pain brought on by lifting objects. The physical examination and laboratory studies were normal.Ten days before admission, the patient returned to the emergency department . . .

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