The incidence of the disease in Asian countries is much higher than that in Europe and America.3 The main clinical symptoms of pediatric choledochal cyst include intermittent upper abdominal pain, mass and jaundice in right upper abdomen
, nausea, vomiting and anorexia.4 It should be treated by surgery immediately after diagnosis.
The clinical presentation of GB carcinosarcoma is similar to that of GB carcinoma and includes symptoms of pain and the findings of a mass in the right upper abdomen
, weight loss, general fatigue, and jaundice.
It is located in the epigastrium or right upper abdomen
and frequently radiates to the right upper back or between the scapulae, and Atypical biliary symptoms, here the pain may be located primarily in the back or the left upper or lower right quadrant.
A green colour piece of gauze was found eroding the ascending colon and adherent to small bowel loops in the right upper abdomen
. Right hemicolectomy was done with double barrel ileostomy.
Direct abdominal X-ray showed abdominal dilatation and air fluid level on the right upper abdomen
Abdominal examination revealed tenderness in the right upper abdomen
and rigidity of the abdominal wall with positive Murphy's sign.
The study was positive for active bleeding, which had started primarily high in the right upper abdomen
, supposedly from the region of the hepaticojejunostomy (Figures 1(a) and 1(b)).
The victims of stray bullets were identified as Calsum Henio, three years old, who was hit at her right upper abdomen
, and 50-year-old Hawaki Asakil Hanapi who sustained a leg injury.
In two cases, physical examination showed right upper abdomen
tenderness, mild rebound tenderness, liver percussion pain, and positive Murphy sign.
Gallstones may cause pain lasting about 30 minutes to several hours in the right upper abdomen
, in the back between the shoulder blades, or under the right shoulder.
She remained impassive, shaking her head slightly in response to his query: "Does this hurt?" As he applied pressure to her right upper abdomen
, I saw her grimace for the first time.
In the anamnesis, she described a slowly increasing pain within the last few days, mostly located in the right upper abdomen
. She could not tell any relief or aggravation or any kind of radiation.