Severe, unremitting abdominal pain
A number of diagnoses were still considered possibilities as the patient underwent laparotomy. A 9-year-old boy presented to the emergency department (ED) complaining of right upper-quadrant (RUQ) abdominal pain with constipation for four days. He described the pain as severe, continuous, and nonradiating and denied fever, vomiting, diarrhea, or urinary difficulties. The patient’s mother had…