Case Report

A previously healthy 37-year-old man presented to an outside hospital with an acute onset of sharp left lower quadrant painthat radiated into his groin while mowing the lawn. The pain was continuous, lasting until the patient presented to the emergency room of his local community hospital. He denied any trauma or sudden changes in position. The patient identified no aggravating or alleviating factors for the pain. The pain was associated with nausea and one episode of bilious, non-bloodyemesis. He also noted urinary hesitancy but denied hematuria.