WOMAN ONE MONTH AGO WITH EPIGASTRIC PAIN AND LOCATED AT MURPHY POINT AND FEVER.
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ULTRASOUND DETECTED ONE MASS IN HEPATIC BORDER , SIZE 5CM ( US 1).
US OBLIQUE SCANNING OF THIS MASS IS THICKENING BORDER LIKE AVOCADOS FRUID ( US 2).
US 3 : LIVER SCANNING OF THIS TUMOR MADE BENDING HILUS OF LIVER.
US 4 : ELASTOSCANNING OF THE WALL CODED HARD PATTERN.
THERE WAS NO BLOOD INSIDE MASS AND ONE STONE IN THE WALL OF THIS MASS MADE THOUGHT IT GALLBLADDER.
THERE WAS NO BLOOD INSIDE MASS AND ONE STONE IN THE WALL OF THIS MASS MADE THOUGHT IT GALLBLADDER.
CT SCAN WITH CE= CT1 : CROSSED SECTION OF THIS
HYPODENSE MASS.
HYPODENSE MASS.
CT2 , CT3 : FRONTAL VIEWS.
MRI OF ABDOMEN SHOWED THIS CYSTIC MASS, WITH ITS
VERY THICKENING WALL.
BLOOD TESTS = WBC: 1,9 K WITH 8.9% NEUTRO, CRP 96.8 ng/mL.
PRE OPERATIVE DIAGNOSIS IS GALLBLADDER ABSCESS WALLED OFF DUE TO STONE.
PHOTO OF MACROSCOPIC SPECIMEN IN OPERATION FOR REMOVING GB ABSCESS.
CONCLUSION = INFLAMMED GALLBLADDER NECROSIS BY STONE CAUSED OBSTRUCTION OF THE NECK OF GALL BLADDER.