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Sanidad Militar
Print version ISSN 1887-8571
Abstract
GUTIERREZ-PANTOJA, MA et al. An unexcepted finding in the right hypocondrium. Sanid. Mil. [online]. 2022, vol.78, n.3, pp.191-192. Epub Jan 30, 2023. ISSN 1887-8571. https://dx.doi.org/0.4321/s1887-857120220003000012.
A 90-years-old man comes to the emergency department with diffuse abdominal pain and fever three days. On physical examination, the abdomen is soft and depressible with air-fluid sound present and bilateral reductible inguinal hernias. A mass is palpated at the level of the roght hypochondrium with a positive Murphy´s sign whitout signs of peritoneal irritation. An abdominal CT with intravenous contrast is requested due to the suspicion of acute abdominal pathology, observing cholelithiasis and a markedly distended gallbladder with torsion.
Keywords : Right hypocondrium; gallbladder; abdominal mass.