| Abstract: | Chief complaint: Severe abdominal pain and enlargement of the
abdomen.
Seven months ago, she had a short attack of epigastric pain associated
with nausea, vomiting, chills and fever. At that time, she noticed enlargement
of the abdomen. and this has steadily; increased to the present time. There
have been occasional mild attacks of abdominal pain, but no severe ones
until tw<> weeks ago. This came on rather suddenly, agonizing in character,
and for three days practically continuous. An improvement was noted for
three or four days, then more pam. Three davs before admission, another
severe attack came, this time in the 10wer abdomen, associated with vomiting
and fever. Bowels moved once daily. |
