[11] 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.
[12] Similarly, in the present study, history of previous abdominal surgery, tenderness in the right hypochondrium, and thickening of GB were the significant predictive factors for difficult LC, whereas conversion was high in patients with thickening of GB and GB contracted.
Our patient was a 40-year-old female who presented with gastric complaints and discomfort in the left hypochondrium. The cystic mass was easily picked on both ultrasound and CT scan, the largest cyst measuring 2.4 x 1.4 cm2.
The possibility of SH must be kept in mind in patients coming with complaints of pain and discomfort in the left hypochondrium. Timely splenectomy in these patients may avert the danger of spontaneous rupture.
Hypochondrium 44 (42.3%) 3 Flatulance 64 (61.5%) 4 Dyspepsia 63 (60.5%) 5 Nausea 31 (29.8%) 6 Positive Murphy's sign 38 (36.5 %) 7 Vomiting 02 (1.9 %) 8 History of jaundic 02 (1.9 %) 9 Periodicity of symptoms 04 (3.8 %) Table 3: Types of Gallstones According to Composition Sl.
Palpation revealed a non-pulsatile mass in the left
hypochondrium. USG abdomen showed a large heterogeneous mass in the left renal area 89 x 5mm size with specks of hyperechogenecity, left kidney was not separately seen and diagnosis of nephroblastoma was suggested.
On further exploration a solitary abscess cavity is found on left lobe of liver which is found on left
hypochondrium.
CASE REPORT: A 30 year non-diabetic, normotensive female patient presented with abdominal lump over epigastrium and left
hypochondrium associated with mild vague abdominal pain for last 6 months.
Her abdomen was tender in the epigastric region, left
hypochondrium and left renal angle.
* A 17 x 11 x 8 cm large yellowish white solid well circumscribed retroperitoneal mass present at right
hypochondrium to right lumbar region.
The swelling was in the right
hypochondrium and partially involving the right lumber and umbilical region, 4x5 cm in size, round, cricket ball shaped, upper border not clearly palpable, not mobile, tender and have a cystic feel.
Ultrasonography revealed a single live intra uterine pregnancy with gestational age 32wks with large cystic lesion 22 x 22 x 20 cms seen in right side of abdomen extending from pelvis up to right
hypochondrium. No solid area noted in the cyst but minimal ascitis was present.
