TY - JOUR T1 - IMage of the month—quiz case AU - Windham T, Rascoe PA, Madrid A Y1 - 2003/07/01 N1 - 10.1001/archsurg.138.7.807 JO - Archives of Surgery SP - 807 EP - 807 VL - 138 IS - 7 N2 - 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). SN - 0004-0010 M3 - doi: 10.1001/archsurg.138.7.807 UR - http://dx.doi.org/10.1001/archsurg.138.7.807 ER -