31st July 2023

A 32-year-old woman, with a background of essential thrombocytosis, presents with a 4-week history of progressively worsening abdominal pain

A 32-year-old woman, with a background of essential thrombocytosis, presents with a 4-week history of progressively worsening abdominal pain and pruritus. On examination, she has hepatosplenomegaly and a tense distended abdomen, which is positive for shifting dullness and caput medusae.

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