An Unusual Case of Intra-Abdominal Air

Question: A 52-year-old man with a history of hypertension and diabetes mellitus was admitted because of right upper abdominal pain of 3 days’ duration. He complained of nausea, abdominal fullness, and fever. He also noted that his skin had become yellow and his urine tea-colored. His symptoms were not made worse by eating and were unaffected by postural change.

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