Statistics from Altmetric.com
A 32-year-old woman with a medical history of deep vein thrombosis (DVT) presented to the ED with a 2-day history of gradually worsening periumbilical pain. She denied fever, nausea, vomiting or diarrhoea. On examination the patient was found to have dilated veins on the anterior thoracic and abdominal wall with tenderness on periumbilical area (figure 1). Murphy’s sign and McBurney’s sign were negative. No ascites was detected. Complete blood count, liver and renal function tests, lipase and urinalysis were all in the normal reference range. CXR showed dilation of upper mediastinum.
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.