ABSTRACT
You are consulted by the emergency department to evaluate an unexpected finding on the abdominal ultrasound of a previously healthy 14-year-old girl who presented with a 2-day history of lower abdominal pain. The patient's abdominal exam had revealed low right lower quadrant tenderness to palpation without rebound. She was afebrile and her vital signs were within normal limits. A complete blood count, urine pregnancy test, and urinalysis were normal.
