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Differential Diagnosis of Periumbilical Abdominal Pain • Vascular: mesenteric thrombosis, dissecting aortic aneurysm • Trauma • Pancreatic: pancreatitis • Metabolic: uremia, diabetic ketoacidosis (DKA) • Irritable bowel, anxiety • Intestinal: small bowel obstruction or gangrene, early appendicitis 
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