Case Presentation: 47 year old female with a past medical history of hypertension presented to the emergency room with two days of right upper quadrant pain and a fever to 102F. For several months prior, she complained of bloating, intermittent diarrhea and diffuse abdominal pain that now localized. Her social history was positive for recent [...]

Case Presentation: An 85-year-old Middle Eastern woman with an intermittently treated solitary hepatic hydatid cyst diagnosed 40 years ago presented to a hospital for 1 month of progressive nausea, vomiting, abdominal pain, and new onset hemoptysis. Past history included multiple myocardial infarctions and an ischemic stroke.  She immigrated to the United States (US) from a [...]

Case Presentation: A healthy 50-year-old woman with no past medical history was transferred from an outside hospital for intermittent, progressively worsening abdominal pain of six weeks duration. Her pain was sharp, stabbing, and located in right upper quadrant. She had been given doxycycline previously to treat for atypical infections. However, pain episodes continued to worsen [...]