Middle-Aged Woman With Right Upper Quadrant Pain

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.

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