A 14-year old cheerleader dies after complaining of abdominal pain
“She was practicing an ‘arabesque double down’ stunt with four other teammates just before she started to complain of pains. The routine requires the flyer to be thrown twice up in the air and then be caught.

Burns’ coach said she was caught in her teammate’s arms and never hit the floor, but a short while later she began to complain of abdominal pains.

‘If she impacted her abdominal area, a blunt injury could cause internal bleeding, and I would suspect it may be in that line of injury,’ Tewksbury Police Chief Richard Mackey said.

Burns was first treated at the East Elite gym and later transported to the hospital. Many of her teammates left the practice believing she was fine because she was alert and talkative when the ambulance arrived.

‘She said she thought she had the wind knocked out of her,’ Medford Police Chief Alfred P. Donovan said. ‘She was talking, but her condition worsened rapidly.’

She died an hour and a half later, at Saints Memorial Hospital in Lowell.”

The question was whether there was evidence of abdominal trauma. If not, there are only a handful of things where abdominal pain can lead to such a quick death. This can include appendicitis, bowel perforation, ruptured abdominal aortic aneurysm, or a ruptured ectopic pregnancy. I wonder if Dr. Bard-Parker has any thoughts.

Update:
Autopsy showed she suffered a spleen laceration from blunt abdominal trauma.