Description

An adolescent girl with no remarkable medical history except several episodes of abdominal pain onsets, presented to the emergency department with pain in the right upper quadrant (RUQ) of the abdomen and nausea for 4 days. The pain was localised and aggravated by deep breathing, with no projections. Physical examination was unremarkable, except for tenderness during RUQ palpation. The patient had been accidently shot as a child. Detailed cutaneous examination revealed a scar on the posterior right side of the neck. …