Case Presentation A 32-year-old woman presented to her family doctor with a several-month history of episodic abdominal pain localized to the left flank and radiating to the left pelvic and lumbar regions. The pain was aggravated by physical activity.
She reported daily bowel movements and denied urinary symptoms, dysmenorrhea, or dyspareunia. Medical History History of constipation and anal fissure Voluntary pregnancy termination in 2018 Currently taking combined oral contraceptives and laxatives as needed No prior surgical history Physical Examination Afebrile, normotensive, and well-appearing ·Localized tenderness on deep palpation of the left iliac fossa and flank No abdominal guarding or generalized tenderness BMI: 19.8 kg/m² Laboratory Findings Routine Labs Blood tests: No significant abnormalities Renal function: Creatinine 0.9 mg/dL Urinalysis: No hematuria or proteinuria…
