Description
A 28-year-old, healthy woman with a history of abdominal pain of almost 6 years came to see us in our clinic after having seen several physicians at several different hospitals over the years. The chief presenting complaint had remained consistent—it was intermittent right abdominal pain that tended to exacerbate in the upright position and improve in the supine position. The change in position was also associated with a feeling of 'a ball rolling' inside of her. There were no other symptoms. Of note, during enquiry into her obstetrical history, the patient recalled that her pain always seemed to be less during pregnancy, especially in the later trimesters.
Physical exam revealed a thin woman with no acute findings on abdominal exam. Prior lab testing and imaging work-ups, including computed abdominal tomography, had been normal.
Given the nature of her complaints, we performed intravenous pyelography—a simplistic imaging test that lends...
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