Case presentation A 15-year-old adolescent girl was presented by her parents with complaints of abdominal pain, vomiting, and lethargy for three days. Examination Chest and throat examination: Clear Abdominal examination: Significant right lower quadrant pain Rectal examination: Equivocal pain Pelvic examination: Remarkable pain upon movement of her cervix Laboratory Investigations White blood cell count: 18,000/mm 3 Serum glucose: 145 mg/dL Serum bicarbonate: 21 mEq/dL Urinalysis: 1+ white blood cells, 1+ glucose, and 1+ ketones ##Disclaimer## The content provided on Docplexus is intended for educational purposes only.

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