Presentation

The patient presented to the emergency room with right lower quadrant abdominal pain that worsens in supine position, decreased appetite, and nausea for two days. No fever, vomiting, diarrhea, or constipation. Previous episode of similar pain happened two months ago and was associated with fever, diarrhea; but self-resolved. CBC showed mild leukocytosis with neutrophil predominance. C-reactive protein-high sensitivity came back elevated.

Patient Data

Age: 9 years
Gender: Male
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