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Case Records of the Massachusetts General HospitalFree Preview

Case 9-2021: A 16-Year-Old Boy with Headache, Abdominal Pain, and Hypertension

List of authors.
  • Kristian R. Olson, M.D., M.P.H.,
  • Katherine Nimkin, M.D.,
  • Ryan W. Carroll, M.D., M.P.H.,
  • Nikolas Stathatos, M.D.,
  • and Zehra Ordulu, M.D.

A 16-year-old boy presented with headache, nausea, vomiting, and abdominal pain. He had been injured 17 months earlier in an ATV accident and again 2 months later while playing soccer. Since then, episodic headache had occurred. On evaluation, the pulse was 160 beats per minute, and the blood pressure 239/162 mm Hg. A diagnosis was made.

Funding and Disclosures

This case was presented at Pediatric Grand Rounds.

Disclosure forms provided by the authors are available with the full text of this article at NEJM.org.

No potential conflict of interest relevant to this article was reported.

We thank Drs. Kent Lewandrowski and Peter M. Sadow for their assistance with the interpretation of the pathological findings.

Author Affiliations

From the Departments of Pediatrics (K.R.O., R.W.C.), Medicine (K.R.O., N.S.), Radiology (K.N.), and Pathology (Z.O.), Massachusetts General Hospital, and the Departments of Pediatrics (K.R.O., R.W.C.), Medicine (K.R.O., N.S.), Radiology (K.N.), and Pathology (Z.O.), Harvard Medical School both in Boston.

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