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.

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Joanna Cohen
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