MRCP2-3019

A 35-year-old woman presents to the emergency department with severe, progressive abdominal pain over the past day. The pain is accompanied by nausea, vomiting and diarrhoea. The patient recalls similar episodes in the past that progressed over a few days and lasted for a week.

On examination: minimal abdominal tenderness and rebound tenderness. She has a history of abdominal surgery for suspected appendicitis and biliary disease, neither of which was confirmed once inside the abdomen.

What diagnostic test or procedure will help confirm the diagnosis?