Question

A 46-year-old patient after taking fatty foods first developed severe pains in the right hypochondrium with irradiation to the right shoulder and right shoulder blade. The body temperature rose to 37.80C, there was repeated vomiting. Palpation of the right hypochondrium revealed the bottom of the painful gallbladder, positive symptoms of Ortner-Grekov, Kera. Rebound tenderness is negative. On admission, ultrasound was performed - gallbladder 115x63 mm, wall 3 mm, calculi were determined in the lumen of the gallbladder. After the appointment of conservative therapy, the condition improved, the temperature dropped to normal, the pain decreased. A day after admission, the gallbladder was no palpable, there was a slight pain at the point of the gallbladder. With dynamic ultrasound - gallbladder 82x59 mm, wall 3 mm, common bile duct - 8 mm. However, after the relief of the pain attack, the patient developed icterus of the skin and sclera.

Answer 1

Answer:

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