Author: Nadeem Zia / Editor: Yasmin Sultan / Reviewer: Tom White / Codes: / Published: 20/06/2023
A 20-year-old male patient presented to the Emergency Department (ED) with sudden-onset, severe, left-sided abdominal pain. He denied any history of trauma. He returned from the Caribbean one week ago, where he suffered from a sore throat.
On initial examination, his pulse was 110bpm and BP 110/78. Abdominal examination showed left-sided tenderness. A venous blood gas showed a Hb of 55. His BP dropped suddenly to 70/40 mmHg and pulse increased to 130 bpm after he had the erect chest x-ray.
