Abstract
A 54-year-old woman presented to the Emergency Department (ED) with 5 days of abdominal pain and vomiting. The patient had the gradual onset of left upper quadrant abdominal pain, described as sharp and going through to the back. The pain decreased by lying on her right side, or leaning forward. The patient also reported 5 episodes of bilious emesis per day. On the day of presentation, she described dizziness with standing. On review of systems, the patient denied diarrhea, hematemesis, melena, bright red blood per rectum, fever, abdominal distention, chest pain, shortness of breath, vaginal bleeding, dysuria, recent travel, or recent trauma. There was no history of bleeding disorders or anticoagulant use.
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