S. I., an 80-year-old married male visited his family physician (FP) with new complaint of 3 days of localized right costal pain occurring only in the recumbent position. The pain began suddenly, without any traumatic event, and continued without any change in location and intensity. Otherwise, he felt healthy, but spent 2 nights in sitting upright with poor sleep, owing to this pain.
Before the recent complaint S. I. was considered healthy and functioning senior patient, who suffers chronically from constipation, which is managed by glycerin suppositories.
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