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Differential Diagnosis of Chronic lower Abdominal Pain • Mediterranean fever, • C1 esterase deficiency [angioneurotic edema], • porphyria, • lead poisoning, • tabes dorsalis, • renal failure) • Testicular disease • Spinal disease • Metabolic diseases (e.g., diabetes mellitus [DM], familial • Mesenteric ischemia • Malignant neoplasm (e.g., ovarian carcinoma) • Lactase deficiency • Intestinal obstruction • Gynecologic disease • Diverticulitis • Crohn’s disease • Chronic intestinal pseudo-obstruction • Abdominal wall pain 
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