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BMJ 2008; 336 doi: (Published 05 June 2008) Cite this as: BMJ 2008;336:1316
  1. Saheel Mukhtar, senior house officer,
  2. James B Haddow, senior house office,
  3. Parthi Srinivasan, consultant
  1. 1Institute of Liver Studies, King’s College Hospital NHS Foundation Trust, London SE5 9RS
  1. saheel.mukhtar{at}

A 43 year old man presented with abdominal pain and vomiting. Examination showed a distended abdomen and a resonant percussion …

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