Presented with acute upper abdominal peritonism. She had been discharged from internal medicine ward a few days earlier, following an intentional drug overdose (presumably a combination of tricyclic antidepressants, methotrexate, warfarin, acetaminophen). Background of atrial fibrillation, rheumatoid arthritis, depression, hypercholesterolemia. Known to have gallstones according to US a few years prior.

Patient Data

Age: 80 years
Gender: Female