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A 50-year-old man was urgently admitted to our department with acute dyspnoea and upper abdominal pain for 4 h. He had no history of any previous thoracoabdominal trauma or surgery. On physical examination, auscultation revealed diminished breath sound with dullness to percussion over the left hemithorax. There was marked abdominal tenderness on the left side, but no guarding or rebound tenderness. The leucocyte count revealed a marked leucocytosis of 23.87x109/L with a mildly elevated neutrophilic …
Footnotes
Contributors QS: the main contributor of this article. B-YW and QT: thoughtful comments on the manuscript.
Competing interests None declared.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.