Case 34102

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Abstract
Presentation of CaseA seventy-one-year-old woman, a retired clerical worker, entered the hospital with the chief complaint of abdominal pain and vomiting.Six weeks before admission she was suddenly seized with severe abdominal pain to the left of the umbilicus and vomited almost at once. She was taken by ambulance to another hospital, where on conservative therapy the symptoms subsided and she was discharged ten days later. About once a week thereafter she had an attack of crampy, nonradiating pain to the left of the umbilicus that was accompanied by vomiting. The attacks lasted several hours. The present episode, which . . .

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