The female patient was admitted with right lower quadrant abdominal pain, diarrhea, fever, chills, and nausea for the past 5days. Blood and stool cultures were negative. CT of the abdomen ruled out colon disease but was positive for ascites and cirrhosis. This was consistent with the patient’s history of cirrhosis due to hemochromatosis. The patient refused paracentesis. Antibiotics were started with improvement of pain and diarrhea. At discharge, the differential diagnosis was acute gastroenteritis or spontaneous bacterial peritonitis.

Final diagnosis: (1) Possible gastroenteritis versus spontaneous bacterial peritonitis, (2) cirrhosis, (3)hemochromatosis

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