Choledocholithiasis and cholecystitis are commonly encountered in clinical practice
and most often manifest as right upper quadrant pain (
1
). However, acute cholecystitis accompanying choledocholithiasis presenting as back
pain referred from a disrupted visceral organs can be challenging to differentiate
from musculoskeletal pain (
2
). This case showcases an elderly patient who presented urgently with concerns of
back pain and an abdominal right lower quadrant palpable mass that was subsequently
diagnosed as an extremely dilated gallbladder associated with choledocholithiasis
and superimposed cholecystitis.To read this article in full you will need to make a payment
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References
- Pain attacks in non-complicated and complicated gallstone disease have a characteristic pattern and are accompanied by dyspepsia in most patients: the results of a prospective study.Scand J Gastroenterol. 2006; 41: 93-101
- Evaluating and managing acute low back pain in the primary care setting.J Gen Intern Med. 2001; 16: 120-131
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Article info
Publication history
Published online: February 19, 2021
Accepted:
January 17,
2021
Received:
December 1,
2020
Identification
Copyright
© 2021 Published by Elsevier Inc.
