RT Journal
A1 Windham T, Rascoe PA, Madrid A
T1 IMage of the month—quiz case
JF Archives of Surgery
JO Archives of Surgery
YR 2003
FD July 1
VO 138
IS 7
SP 807
OP 807
DO 10.1001/archsurg.138.7.807
UL http://dx.doi.org/10.1001/archsurg.138.7.807
AB 
A 64-YEAR-OLD diabetic, hypertensive, obese woman came to the emergency department with a 5-day history of diffuse abdominal cramps. Two weeks prior, she reported an episode of acute right upper quadrant pain lasting a few hours and associated with nausea and vomiting. She had watery diarrhea during the last 2 days and 1 episode of nonbilious emesis the morning of admission. Her abdomen was soft and nontender but moderately distended. The findings on rectal examination were unremarkable. Further testing was performed (Figure 1).