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An 18-year-old male presents to urgent care with widespread abdominal “gas pain” for several days. He denies changes in diet or changes in bowel habits. However, he recalls having a hard collision with another player during a lacrosse game prior to onset of symptoms.

View the image taken and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.

An 18-Year-Old with Diffuse Abdominal Pain