Concluded Case

? GB Perforation

A female aged 60 years who is a k/c/o DM & Cholelithiasis Chief Complaints Sudden onset Pain Abdomen (RUQ) (Severe, persistent) Fever Physical Examination P/A - Tenderness (+) RUQ, Guarding (+)

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Concluded answer

Gall bladder perforation Adv Emergency open/ laparoscopic cholecystectomy

All Answers

Gall bladder perforation Adv Emergency open/ laparoscopic cholecystectomy

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Rt HUQ tenderness with guarding with acute onset is consistent with findings of GB perforation and needs emergency laprotomy for cholecystectomy and peritoneal lavage

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Emergency open cholecystectomy with a drain in Morrison’s pouch

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Need surgical intervention

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