Editor's quiz
Crampy left upper quadrant pain in a 26-year-old male
1 Department of Emergency Medicine, Far East Memorial Hospital, Taipei, Taiwan
2 Department of Internal Medicine, Yun-Lin Branch, National Taiwan University Hospital
3 Department of Internal Medicine, National Taiwan University Hospital, and National Taiwan University, Taipei, Taiwan
4 Department of Emergency Medicine, National Taiwan University Hospital and National Taiwan University, Taipei, Taiwan
Correspondence to:
Dr W-C Lien, Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan, No 7, Chung-Shan South Road, Taipei 100, Taiwan; wanchinglien@ntu.edu.tw
| The first 100% of the full text of this article appears below. |
CLINICAL PRESENTATION
A 26-year-old man presented with left upper quadrant abdominal pain for 1 week. The character of the pain was intermittent, cramping in nature, and especially aggravated after meals. No fever, chills, haematochezia or melena were reported. Physical examination revealed local tenderness over the left upper quadrant without rebound tenderness. The rest of the examination was unremarkable. The laboratory results showed normal blood cell counts and the biochemical studies were within normal limits. A plain abdomen film was obtained (fig 1).
Figure 1 Plain abdominal radiograph.
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QUESTION
What is the diagnosis?
See page 998 for the answer
This case is submitted by:
Robin Spiller, editor
Competing interests: None.
Patient consent: Obtained.
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ANSWER
Gut 2009 58: 998.[Extract] [Full Text] [PDF]
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