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Translate this page into: ARTICLE IN PRESS doi: 10.25259/IJN_254_2026 , , , , 1Department of Nephrology, Venkateshwar Hospital, New Delhi, India 2Department of Nephrology, Max Super Speciality Hospital, Dwarka, New Delhi, India 3Department of Nephrology, BLK Max Hospital, New Delhi, India Corresponding author: Prem Varma, Department of Nephrology, Venkateshwar Hospital, Dwarka, New Delhi, India.
Dear Editor, A 68-year-old diabetic male with 8-year dialysis vintage reported to Emergency room in March 2023, with a 4-day history of pain left upper abdomen radiating to the left shoulder (Kehr’s sign). He appeared anxious with BP of 100/70 mm HG and pulse of 96/min. On examination, there was tenderness and guarding in the left hypochondrium. His hemoglobin was 9.6 g/dl and was leucocyte count was 13,900/cmm.
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