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Biliary Colic, Acute Cholecystitis, and Cholecystectomy 

Biliary Colic, Acute Cholecystitis, and Cholecystectomy
Biliary Colic, Acute Cholecystitis, and Cholecystectomy

David Seiden

and Siobhan A. Corbett

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date: 05 December 2020

A 53-year-old woman presents to the hospital with a complaint of severe pain in the right upper abdominal region. She states that the pain came on suddenly about 2 hours after dinner and is rapidly increasing in severity. It is described as sharp and constant, radiating around the costal margin to her shoulder blade. She has taken an “antacid” without relief. She reports that she has had repeated attacks of severe pain in the right upper quadrant of the abdomen and suffers from indigestion and “gas pain on my stomach,” particularly after eating fatty foods. She reports no fever or chills. She is nauseated and vomited bilious fluid once without relief. She has had no change in her bowel habits and reports no itching or change in the color of her skin. She is postmenopausal and has had three pregnancies.

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