GI Emergencies: A Quick Reference Guide

Robert C. Lowe, MD; Francis A. Farraye, MD, MSc

Chapter 8: Acute Cholangitis And Biliary Emergencies (continued)

Stephen D. Humm, MD; Christopher S. Huang, MD

You receive the following call from the emergency department: A 67-year-old obese mother of 3 with a history of diabetes and hypertension presented to the emergency room tonight with abdominal pain, nausea, and vomiting. Her pain began suddenly this afternoon after eating a hamburger. The pain is in the right upper quadrant, radiating to her back and right shoulder. She has had similar, milder attacks in the past. On physical examination, she is tender to palpation on the right upper quadrant, but she does not appear to have an acute abdomen. The most common biliary emergencies that…