Diseases simulating cholelithiasis. Weltmann (Wien. klin. Woch., 1927, no. 40)

If a typical attack of this disease, - says Weltmann, - presents a very characteristic picture (intense colic-like pain in the right subcostal area, extending to the right shoulder, tension of the right m. Weltmann's disease is very characteristic (intense colic-like pain in the right side of the upper abdomen, no abdominal reflex, sensitivity of the n. phrenici under right pressure, hyperaesthesia of the skin over the right rib cuff, jaundice, urobilinuria, constipation, often elevated t, etc.). ), very often the first attack of gallstones, running without jaundice, with no palpation findings due to upper abdominal tension, is very difficult to diagnose, and a significant number of diseases may simulate cholithiasis.