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Imaging after medically managed severe acute cholecystitis
  1. T J Walton1,
  2. R Dhingsa2,
  3. P V Kaye3,
  4. D N Lobo1
  1. 1
    Division of Gastrointestinal Surgery, Nottingham Digestive Diseases Centre Biomedical Research Unit, Nottingham University Hospitals, Queen’s Medical Centre, Nottingham, UK
  2. 2
    Department of Diagnostic Imaging, Nottingham Digestive Diseases Centre Biomedical Research Unit, Nottingham University Hospitals, Queen’s Medical Centre, Nottingham, UK
  3. 3
    Department of Pathology, Nottingham Digestive Diseases Centre Biomedical Research Unit, Nottingham University Hospitals, Queen’s Medical Centre, Nottingham, UK
  1. Mr D N Lobo, Division of Gastrointestinal Surgery, E Floor, West Block, Nottingham University Hospitals, Queen’s Medical Centre, Nottingham NG7 2UH, UK; Dileep.Lobo{at}nottingham.ac.uk

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CLINICAL PRESENTATION

Transabdominal ultrasonography in a 52-year-old obese woman with right hypochondrial pain, fever, leucocytosis (39.2×109/l) and mildly deranged liver function tests (bilirubin 31 μmol/l, alanine aminotransferase (ALT) 35 U/l, γ-glutamyltransferase (GGT) 101 U/l, alkaline phosphatase (ALP) 138 U/l) showed gallstones within a thick-walled gallbladder with a normal …

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Footnotes

  • Robin Spiller, editor

  • Competing interests: None.

  • Patient consent: Patient consent has been received for publication of the case details and the figures in this paper.

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