An 82 year old woman had two weeks’ of severe,
dull, right groin pain. This had started suddenly and
was worse on walking. At the time of admission, she
had developed new cognitive impairment, reduced
appetite and functional decline. She had a colostomy
after resection for anal cancer 12 years previously.
Current medication was omeprazole, paracetamol,
ibuprofen, temazepam and more recently oral
morphine had been added. Her premorbid
functional level was unimpaired.