Presentation

Patient presented to the Emergency Department with severe lower abdominal pain which radiated to the groin, on a background of two days of generalized abdominal pain. Associated nausea and anorexia. Nil urinary or gynecologic symptoms. On examination, the patient was tachycardic with generalized severe abdominal tenderness with 'voluntary' guarding.

Patient Data

Age: 25 years
Gender: Female
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