Estébanez-Ferrero, BeatrizFuentes-Porcel, OrlandoLorenzo-Liñán, Miguel ÁngelRico-Morales, María Del Mar2023-02-092023-02-0920211130-0108http://hdl.handle.net/10668/17362A 67-year-old female, with no alterations in glucose metabolism or other relevant history, presented to the Emergency Department due to abdominal pain and vomiting after a syncopal episode. Physical examination revealed a poor general condition, mild stupor and a distended abdomen, painful on palpation in the right hypochondrium, with localized rigidity. On arrival at the Emergency Department, the patient's blood pressure (BP) was 150/66 mmHg, heart rate (HR) was 110 beats/minute and temperature 35 °C.enAbdominal PainAgedEmphysemaFemaleHepatitisHumansPrognosisVomitingresearch article33733799open access10.17235/reed.2021.7795/2021https://doi.org/10.17235/reed.2021.7795/2021