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Case 89: 'Peritonitis'

This patient had been in hospital for 5 days with an exacerbation of chronic bronchitis. You are called to the medical ward because the respiratory doctors have found their patient to have developed abdominal pain overnight, and a tender lump in the left upper quadrant of his abdomen. You take a history from the patient and examine him. You suspect the diagnosis, and confirm it with a scan.

1. What is the diagnosis?

2. What are the risk factors?

3. What are the risks now for the patient?