PUZZLER
Unusual abdominal pain in an 8-year-old boy
Kumara V Nibhanipudi MD, FAAP, FAAEM; Rania Habal, MD; Deepali Jain, MD

THE CASE

A previously healthy 8-year-old Hispanic boy presented to the emergency department (ED) with a 2-day history of abdominal pain and 2 episodes of nonprojectile vomiting in the last 24 hours. There were no other accompanying symptoms. Past medical history and review of symptoms was unremarkable. Initially, the child and mother denied any use of medications. The family history was noncontributory.