Acute Calculous Cholecystitis | Zendy

Patricia L. Adams | Zendy

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Acute Calculous Cholecystitis

Author(s) -

Patricia L. Adams

Publication year - 2008

Publication title -

new england journal of medicine

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 19.889

H-Index - 1030

eISSN - 1533-4406

pISSN - 0028-4793

DOI - 10.1056/nejmx080023

Subject(s) - medicine , cholecystitis , general surgery , gastroenterology , gallbladder

Copyright © 2008 Massachusetts Medical Society. A previously well 42-year-old woman presents with severe pain in the right upper quadrant, which started 15 hours earlier. She has previously noted episodic pain in that location that lasted for up to 2 hours but has not sought medical advice. She has had one episode of vomiting with the current attack. On physical examination, her temperature is 38.5°C, and the heart rate is 95 beats per minute. She has tenderness and guarding in the right upper quadrant. How should her condition be evaluated and treated?

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