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Image of the Month—Quiz Case
Aglaia Stavrothanasopoulou, MD;
Stylianos Germanos, MD;
Antonios Xipolitos, MD;
Christos Ntochas, MD;
Marouso Stathopoulou, MD;
Panagiotis Demertzis, MD;
Athina Agelidou, MD;
Friderikos Vlastos, MD
Arch Surg. 2008;143(12):1231.
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INTRODUCTION
A 70-year-old man visited the emergency department with a 3-day history of right upper quadrant pain. He was febrile (temperature, 37.6°C) and his white blood cell count was 19 x 103/µL. His abdomen was soft and tender at the right upper quadrant with a positive Murphy sign.
He had a history of splenectomy for hereditary spherocytosis at age 40 years and a history of upper gastrointestinal tract bleeding from a gastric ulcer 7 years prior to admission. He had a gallstone disease for the last 12 years. The abdominal ultrasonographic scan showed acute cholecystitis with gallbladder wall thickening and pericholecystic fluid collection, and chest radiography revealed a mass of the right lower lobe (Figure 1). The patient underwent a cholecystectomy and had an . . . [Full Text of this Article]
What Is the Diagnosis?
Author Affiliations: First Department of Respiratory Medicine, Sotiria Chest Hospital (Drs Stavrothanasopoulou, Xipolitos, Ntochas, Stathopoulou, Demertzis, Agelidou, and Vlastos) and First Surgical Department, Evangelismos General Hospital (Dr Germanos), Athens, Greece. Dr Stavrothanasopoulou is now with the Intensive Care Unit, KAT Trauma Hospital, Athens Greece. Dr Germanos is now with the Nuffield Department of Surgery, John Radcliffe Hospital, Oxford, England. Dr Vlastos is now with the Second Department of Respiratory Medicine, Sotiria Chest Hospital.
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Image of the Month—Diagnosis
Arch Surg. 2008;143(12):1232.
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