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Patients presenting to the emergency department with right upper quadrant pain are usually placed on a list of critical, yet limited differential diagnoses. Of these diagnoses, cholecystitis is fairly common. Although most cases of cholecystitis are relatively straight-forward, there are numerous extracholecystic conditions which have been known to...
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Context 1
... and rectal examinations were normal. The patient stated that she hadn't passed stool for 5 days prior to her ED visit. A liver function test showed normal liver enzymes, and the patient was not febrile. An abdominal ultrasound revealed a thickened gallbladder wall, with peri-cholecystic fluid, confirming the diagnosis of acute cholecystitis ( Fig. 1). No hepatic congestion was seen. The patient was kept NPO, given IV fluids and antibiotics, and was admitted under the pediatric surgical service. Her past medical history was not ...
