Pediatric abdominal pain is a very common complaint for patients presenting to the primary care or the emergency department.1,2 It often poses a diagnostic dilemma owing to the variety of underlying causes. The vast majority of episodes are benign and self-limiting, but persistent abdominal pain may signify an underlying pathology requiring urgent intervention. Acute abdominal pain is usually a self-limiting, benign condition, such as in gastroenteritis, constipation, or viral illness.3,4 However, many a times the clinical symptoms may be uncharacteristic. This often poses a challenge for the physician in identifying children who have uncommon and potentially life-threatening conditions that require urgent evaluation and treatment, such as appendicitis, intussusception, volvulus, or adhesion.