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An 11-year-old boy presented with a 1-day history of a generalised lower abdominal pain extending from the right to the left iliac fossa. His symptoms were associated with nausea, anorexia and a mild fever.
On physical examination, deep tenderness and guarding were elicited at McBurney's point, as well as the hypogastrium and the left iliac fossa. Haematological investigations revealed normal ranges of both white cell count and C reactive …
Competing interests None declared.
Patient consent Obtained.
Provenance and peer review Not commissioned; internally peer reviewed.