Case presentation A 45-year-old woman presented to her general physician with complaints of severe abdominal pain for the past three days. She defined pain in the epigastric region, which radiated towards the right upper quadrant of the abdomen. After dinner, the pain became worse. Patient history The patient had a history of similar pain without any diagnostic workup. She had hypertension and hypercholesterolemia and underwent a hysterectomy a year ago. Social history She was neither a smoker, drinker, nor took drugs.
Physical examination Her physical examination revealed no acute distress. Abdominal examination revealed tenderness and palpation in her epigastric and right upper quadrants with no Blumberg sign. Bowel sounds were found to be normal. Her chest and cardiovascular examinations were also normal except for mild tachycardia. Vital signs Blood Pressure - 155/90 mmHg Heart Rate…
