ABSTRACT
A 14-year-old boy presents to the emergency department 24 hours after an injury sustained while riding his bike. He was biking at high speed on a slippery path when he lost balance and fell of his bike, sustaining an impact against the handlebar. He started to complain of abdominal pain the next morning and had one episode of bilious emesis. The pain has continued to worsen and he has continued to have nausea and anorexia.
