Un hallazgo inesperado en hipocondrio derecho: [diagnóstico: vólvulo de la vesícula biliar]

• Autores: María Aranzazu Gutiérrez Pantoja, Francisco Soriano Navarro, Matteo Romano, Federica Cordido Henriquez, María Pilar Vallejo Desviat, Pablo Molina López-Nava
• Localización: Sanidad militar: revista de sanidad de las Fuerzas Armadas de España, ISSN 1887-8571, Vol. 78, Nº. 3 (jul.-sept.), 2022, págs. 191-192
• Idioma: español
• Títulos paralelos:
  • An unexcepted finding in the right hypocondrium
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• Resumen

  • 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 intra- venous contrast is requested due to the suspicion of acute abdominal pathology, observing cholelithiasis and a markedly distended gallbladder with torsion.