IOTW: Cholelithiasis

Posted on: November 5, 2018, by :

16 yo M with SSD presented with RUQ pain. US revealed cholelithiasis without evidence of cholecystitis. He had no pericholecystic fluid or gall bladder wall thickening. He was admitted and his pain continued. He had a radiology US which confirmed his POCUS findings but also found a 7mm CBD indicating obstruction and went on to have a cholecystectomy. Note the gallstone with shadowing on the POCUS here.

“The information in these cases has been changed to protect patient identity and confidentiality. The images are only provided for educational purposes and members agree not to download them, share them, or otherwise use them for any other purpose.”

Joanna Cohen

Pediatric Emergency Medicine Attending/Director of Pediatric Ultrasound at Children's National Health System
Joanna is originally from NY where she attended medical school at Downstate in Brooklyn. She completed her pediatric residency at Johns Hopkins and made her way south to DC for PEM and ultrasound fellowships. She has remained in DC, making her home in Capitol Hill since 2005. She stays busy mostly attending youth soccer games with her three kids and running.
Joanna Cohen

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