A 50-year-old male presents with severe abdominal pain.
I was wrong in the response because the Murphy place. I think it is a semiological sign more than imaging.
the clinical picture of gall bladder perforation is not a constant one.operative intervention is not always an easy task to decide.many of the general and local factors interplay to aggravate or dampen the irritating effect of leaking bile.DM, the cause and rate of leakage vs diluting effect of peritoneal fluid seems to be the main factors.
Since the definition of a Sonographic Murphy sign is, "AbstractA positive sonographic Murphy sign, the presence of maximal tenderness elicited over a sonographically localized gallbladder, has been reported to be a helpful adjunctive finding in patients with proven acute cholecystitis who are evaluated with ultrasonography. " and all we have are CT images, it's impossible to have a sonographic Murphy's sign in this case.
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