ABSTRACT
A 28-year-old man presented to hospital complaining of abdominal pain and yellow sclera. He described a 3-week history of right upper quadrant pain that was exacerbated by eating. The pain was dull in nature and did not radiate. He had noticed his sclera becoming yellow over the preceding 3–4 days. On direct questioning, he admitted to dark urine and pale stools. He denied weight loss, fevers and night sweats. He had no past medical history and took no regular medications, although he had occasionally been using paracetamol to treat his abdominal pain. He was of Somalian origin and had last travelled to Somalia 6 months earlier. He was in a monogamous relationship and worked nightshifts as a security officer. He smoked 20 cigarettes daily but did not drink alcohol.
