50-year-old male with abdominal pain

Tiffany Newman, MD, Weill Cornell Medical Center, New York-Presbyterian Hospital, New York, NY

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Summary:

A 50-year-old male presents with severe abdominal pain.
Q. All of the following are used as radiographic evidence of acute cholecystitis, EXCEPT




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3 Comments

  • jaider gomez diaz 5/13/2011 12:55:59 PM

    I was wrong in the response because the Murphy place. I think it is a semiological sign more than imaging.

  • Dr.El-Jaily Sourketti 5/11/2011 2:20:03 PM

    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.

  • William Reinus 5/11/2011 10:22:36 AM

    Since the definition of a Sonographic Murphy sign is, "Abstract
    A 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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