Home WIOTM Case of the Month September 2021- Intermittent upper abdominal pain with vomiting

Case of the Month September 2021- Intermittent upper abdominal pain with vomiting

by Admin

Sofie Bech Andersen1,*

1    Department of Radiology, Rigshospitalet, DK-2100 Copenhagen, Denmark

*   Correspondence: anne.sofie.bech.andersen@regionh.dk

Clinical History:

A 54-year old female with a past medical history of rheumatoid arthritis, a hiatus hernia, and appendectomy as a child, presented with intermittent upper abdominal pain and vomiting. The abdominal pain had occurred every 2nd to 3rd month during the past years, each time lasting roughly 3 days. The pain radiated to the back. No fever, weight loss or alterations in feces and urine was reported.

A physical exam revealed the patient’s abdomen soft and non-tender with no palpable masses.

With a clinical suspicion of gall stones, an abdominal ultrasound examination was requested and performed.

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