In the present study, difficult LC was significantly more in patients with a history of previous abdominal surgery, tenderness in right hypochondrium
, and thickening of GB, whereas conversion to OP was significantly high in patients with thickening of GB and distended or contracted GB.
Acute acalculous cholecystitis (AAC) is the inflammation of the gallbladder free from calculi, clinically characterized by a state of typical biliary pain, jaundice, and a mass in the right hypochondrium
, which many times simulates acute abdominal pain.
Conclusion: The most common mode of clinical presentation of choledochal cyst was pain right hypochondrium
with raised serum bilirubin and ALT levels.
In August 2014 he presented with a 2 month history of high grade fever, malaise, weight loss and pain in right hypochondrium
. On investigation his HCV viral load at that time was 2041287 IU/mL.
In 2011, a 63-year-old man from the Jura departement (eastern France) sought treatment for moderate pain in the right hypochondrium
. Ultrasound examination revealed 2 hyperechoic liver nodules (6 and 3 cm in diameter) in segment V.
Detailed his- tory was taken from all the patients with special regard to the abdominal pain or pain in right hy- pochondrium, lump in right hypochondrium
, vom- iting, dyspepsia and fever.
CT (Figures 1-4) revealed the classic "bowel within bowel" configuration with intervening mesenteric vessels in the region of the proximal transverse colon (right hypochondrium
of the patient) over a segment of approximately 8 cm with a 2.5 cm rounded fat density lesion at its apex (Hounsfield unit values of -60 to -130).
TSJ, 20 year old man, living in Rio de Janeiro, was admitted in the emergency room in March, 2008, due to feverish acute illness, headache, generalized myalgias, abdominal pain in right hypochondrium
irradiated to left flank and diarrhea with six days of evolution.
Six (5.94%) patients presenting with pain right hypochondrium
with no jaundice and 18 (17.82%) patients presenting with right hypochondrial pain and dyspepsia.
Abdominal examination revealed midline incisional hernia which is reducible, tenderness in right hypochondrium
and epigastric region without any palpable lump.
The pain was episodic, stabbing, and localized to left and right hypochondrium
. It was aggravated post-prandially and relieved with pain killers but only temporarily.
The appearance on abdominal radiographs consists of tiny curvilinear calcifications in the right hypochondrium