The 32-year-old woman who arrived at a Casablanca clinic in November 2024 had been through many physicians already. Her menstrual abdominal pain reached 10 out of 10 on a numerical rating scale. Pelvic examination was so painful it was nearly impossible to complete. And there was one symptom that had never fit: pain in her right shoulder, with no breathing problems and no injury to explain it.
At various points, it had been attributed to gallstones.
