She left the day I got into trouble (5)

I believe the answer is:

lydia

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'she' is the definition.
(woman's name)

'left the day i got into trouble' is the wordplay.
'left' says the letters should be written backwards.
'the day i' becomes 'dy' (I am not sure about this - if you are sure you should believe this answer much more).
'got into' indicates putting letters inside.
'trouble' becomes 'ail' (synonyms).
'dy' put within 'ail' is 'aidyl'.
'aidyl' backwards is 'LYDIA'.

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(Other definitions for lydia that I've seen before include "where Croesus was king" , "lady" , "Woman" , "Female" , "girl" .)

I've seen this clue in the Evening Standard.

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