What's the Diagnosis?

Wed, 10/06/2021 - 10:30am
Author: 
Lauren Murphy, MD
Editor: 
Alfred Cheng, MD

A 42 year-old female presents with HTN, DM, and obesity 4 days of abdominal pain. The pain is worsened by eating and associated with nausea; her vitals are within normal limits and she is afebrile. What's the diagnosis?

 

 

Answer: Cholelithiasis without cholecystitis

 

Ultrasonographic Findings of Cholelithiasis and Cholecystitis:

Cholelithaisis: visualization of hyperechogenic object with shadowing, generally >5mm in size

Cholecystitis:

  • Gallbladder wall thickness > 3mm 
  • Pericholecystic fluid 
  • Sonographic Murphy's sign 

Choledocholithiasis: Dilation of common bile duct (>5mm is suspicious, >8mm pathogenic)