BMJ Case Reports 2009; doi:10.1136/bcr.2006.039149
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  1. S-H Tsai,
  2. S-J Chu,
  3. S-J Chen
  1. Department of Emergency Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, ROC
  1. tsaishihung{at}
  • Published 8 January 2009

A 77-year-old man presented with epigastric pain and nausea that lasted for 36 h. On arrival, he was hypotensive (100/70 mm Hg) and had low-grade fever (37.4°C). Physical examination showed generalised abdominal tenderness and a …

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