A Rare Cause of Recurrent Abdominal Pain in a 5-Year-Old

A healthy 5-year-old boy of Indian and Caucasian descent presented to his pediatrician after three intermittent monthly bouts of cramping diffuse abdominal pain. His mother described these episodes as waves of writhing pain that would incapacitate her son for approximately 10 to 20 minutes before remitting briefly, only to start over again in a repetitive manner. These recurrent episodes of pain continued for 3 to 9 hours and occurred in the evening or at night. Associated symptoms included nonbloody, nonbilious episodes of vomiting with loose stools.

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