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An 81-year-old man with a history of hypertension and hyperlipidemia presented with epigastric pain for 3 days, which was associated with skin yellowing and vomiting. There were neither fever, diarrhoea, tea-coloured urine nor the consumption of traditional Chinese medicine or raw seafood. Examination showed jaundice and right upper quadrant tenderness. Chest X-ray and ECG were unremarkable. Urine dipstick test was 1+ for bilirubin.
Contributors JSKL and CKY managed the patient at first presentation. JSKL wrote the manuscript, and CKY and PGK reviewed the manuscript.
Competing interests None declared.
Provenance and peer review Not commissioned; internally peer reviewed.
Patient consent for publication Obtained.