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Middle-Aged Woman With Right Upper Quadrant Pain
IMAGES IN EMERGENCY MEDICINE Eric S. Kiechle, MD; Jonathan E. Davis, MD; Kerri L. Layman, MD 0196-0644/$-see front matter Copyright © 2016 by the American College of Emergency Physicians. http://dx.doi.org/10.1016/j.annemergmed.2016.12.023
Figure 1. Abdominal CT (sagittal view) showing subcapsular liver fluid collection (asterisks) and lumboperitoneal shunt catheter tubing (arrow).
Figure 2. Abdominal CT (coronal view) showing subcapsular liver fluid collection (asterisks) and lumboperitoneal shunt tip within Glisson’s capsule (arrow).
[Ann Emerg Med. 2017;69:792.] A 50-year-old woman with a history of pseudotumor cerebri presented to the emergency department with worsening abdominal pain during 2 weeks. Surgical history included lumboperitoneal shunt, hernia repair, and cholecystectomy. Her pulse rate was 108 beats/min, but she was afebrile and well appearing. Laboratory analysis result was unremarkable. Examination revealed diffuse abdominal pain with rebound tenderness on palpation, most pronounced in the right upper quadrant.
For the diagnosis and teaching points, see page 800. To view the entire collection of Images in Emergency Medicine, visit www.annemergmed.com 792 Annals of Emergency Medicine
Volume 69, no. 6 : June 2017
800 Annals of Emergency Medicine
Volume 69, no. 6 : June 2017
Figure 1. Abdominal CT (sagittal view) showing subcapsular liver fluid collection (asterisks) and lumboperitoneal shunt catheter tubing (arrow).
Figure 2. Abdominal CT (coronal view) showing subcapsular liver fluid collection (asterisks) and lumboperitoneal shunt tip within Glisson’s capsule (arrow).
[Ann Emerg Med. 2017;69:792.] A 50-year-old woman with a history of pseudotumor cerebri presented to the emergency department with worsening abdominal pain during 2 weeks. Surgical history included lumboperitoneal shunt, hernia repair, and cholecystectomy. Her pulse rate was 108 beats/min, but she was afebrile and well appearing. Laboratory analysis result was unremarkable. Examination revealed diffuse abdominal pain with rebound tenderness on palpation, most pronounced in the right upper quadrant.
For the diagnosis and teaching points, see page 800. To view the entire collection of Images in Emergency Medicine, visit www.annemergmed.com 792 Annals of Emergency Medicine
Volume 69, no. 6 : June 2017
800 Annals of Emergency Medicine
Volume 69, no. 6 : June 2017