Unusual history of 'stitch

A 67-year-old man presented to the consultation in September 2022 with abdominal pain, described as a ‘stitch’ by the patient, occurring in crisis, and localised at the right hypochondrium in the last 6 months.

His medical history was marked by a cholecystectomy in 2017 and a metabolic syndrome. In addition, he reported an abdominal trauma at the age of 8 with a metal swing.

He was treated with metformin, tamsulosin, amlodipine and valsartan.

His laboratory blood tests were unremarkable.

An abdominal ultrasound was performed showing an atypical lesion of the liver segment VII. A dual-energy CT …

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