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Elderly woman with abdominal pain
  1. Cheng-Hsien Hsieh1,2,
  2. Ming-Yi Hsu3,4,
  3. Cheng-Chung Liu4,5
  1. 1 Department of Emergency Medicine, En-Chu-Kong Hospital, New Taipei City, Taiwan
  2. 2 Department of Medicine, College of Medicine, Fu Jen Catholic University, Sinjhuang City, Taiwan
  3. 3 Department of Medical Imaging and Intervention, Chang Gung Memorial Hospital, Taoyuan City, Taiwan
  4. 4 Department of Medicine, College of Medicine, Chang Gung University, Taoyuan City, Taiwan
  5. 5 Department of Emergency Medicine, Chang Gung Memorial Hospital, Taoyuan City, Taiwan
  1. Correspondence to Dr Cheng-Hsien Hsieh, Department of Emergency Medicine, En-Chu-Kong Hospital, No. 399, Fuxing Rd., Sanxia Dist., New Taipei City 237, Taiwan; sogahsieh{at}gmail.com

https://doi.org/10.1136/emermed-2016-205678

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    CLINICAL INTRODUCTION

    A 76-year-old woman with a history of hypertension and diabetes mellitus presented to the ED with abdominal pain for 1 week. On physical examination, the patient was found to have epigastric and bilateral costovertebral angle tenderness. Laboratory tests reported elevations of white blood cell count, creatinine and serum lipase. A chest radiograph was obtained (figure 1).

    Figure 1

    A chest radiograph of the patient.

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    Footnotes

    • Twitter Follow Cheng-Hsien Hsieh at @sogahsieh

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; internally peer reviewed.