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A 40-year-old female with a past medical history of hypertension and bipolar disorder presented with a few hours of severe epigastric abdominal pain radiating to the back associated with nausea and vomiting. The patient denied any history of consuming alcohol, or illegal drug abuse. No new medication had recently been started, and there was no history of abdominal trauma. She had a cholecystectomy in 2004.
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