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      A 40-year-old man’s initial diagnoses did not explain all of his signs and symptoms—particularly when they took a calamitous turn. The patient, who had a history of L4-L5 laminectomy for lumbar radiculopathy, presented after 1 week of progressively worsening abdominal pain, difficulty walking, and fever. He had recently undergone rotator cuff surgery, which was complicated by a small wound abscess. His abdominal pain began as dull discomfort in the left inguinal region, spreading deep into the left hip and right inguinal region, with radiation to the back. The pain was accompanied by intermittent left-leg weakness that resolved spontaneously with positional changes.
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