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Right upper quadrant pain and fever following a fall in a 92 year old
  1. A Patel1,
  2. V Lefemine1,
  3. A Chander2,
  4. A Maw1
  1. 1
    All-Wales Higher Surgical Training Programme, Glan Clwyd Hospital, Rhyl, Denbighshire, UK
  2. 2
    Department of Radiology, Glan Clwyd Hospital, Rhyl, Denbighshire, UK
  1. Mr A Maw, Department of General Surgery, Glan Clwyd Hospital, Rhyl, Denbighshire LL18 5UJ, UK; Andrew.Maw{at}cd-tr.wales.nhs.uk

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CLINICAL PRESENTATION

A 92-year-old woman presented with a week’s history of right upper abdominal pain, confusion and a low grade pyrexia. Preceding the illness, she had stumbled and fallen onto her right side. Clinical examination …

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