IMAGING IN DIARRHOEA AND VOMITING

A 83 year-old lady presented to the emergency department with a two day history of diarrhoea and vomiting which was associated with constant epigastric pain. Before this illness, she had an aortic valve replacement four years ago for aortic stenosis but no other significant past medical history. Her blood tests on admission were normal except for a slightly raised alanine transaminase of 135 IU/L. The initial medical impression was of an viral infective cause. She was treated with fluid resuscitation and monitored in the high dependence unit.