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A rare cause of acute abdomen in a young female patient

Journal Volume 84 - 2021
Issue Fasc.2 - Clinical images
Author(s) N. Matsumoto 1 2, H. Fujikawa 1 3, S. Nishioka 1, S. Yamashita 2, T. Yoshizawa 1 2
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PAGES 389-389
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DOI10.51821/84.2.389
Affiliations:
(1) Department of Internal Medicine, Suwa Central Hospital, Chino, Nagano, Japan
(2) Department of Obstetrics and Gynecology, Suwa Central Hospital, Chino, Nagano, Japan
(3) Department of Medical Education Studies, International Research Center for Medical Education, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-0033, Japan.

A 37-year-old woman presented to the hospital with a 3-day history of right upper quadrant pain (RUQP), which worsened with deep breathing. On examination, she had fever (38°C) and RUQ tenderness. Laboratory tests showed white-cell count of 8.1 × 109/L and C-reactive protein level of 29.4 mg/L. Liver profiles were within normal range (aspartate aminotransferase 20 U/L and alanine aminotransferase 22 U/L). Immediately, contrastenhanced computed tomography (CECT) was performed (Figure 1). What is your diagnosis?

The authors declare that they have no conflict of interest.
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