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Diagnostic Flow Charts for Biliary Lithiasis

  • Emilie Lermite
  • Patrick Pessaux

Abstract

Gallstones remain asymptomatic in nearly 80% of cases [1]. The clinical features of gallbladder stone disease include biliary colic and acute cholecystitis. Biliary colic is caused by impaction of the stone in the cystic duct with distension of the gallbladder and activation of visceral sensory neurons [2]. The pain typically arises in the right upper quadrant of the abdomen or epigastrium, rapidly increases in intensity and then plateaus, lasts for 30 min to 6 h, and occasionally radiates to the right subscapular area. Associated symptoms including nausea and vomiting are common.

Keywords

Bile Duct Acute Cholecystitis Common Bile Duct Stone Bile Duct Stone Compute Tomogra 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Italia 2008

Authors and Affiliations

  • Emilie Lermite
    • 1
  • Patrick Pessaux
    • 2
  1. 1.Department of Digestive SurgeryCHU AngersAngersFrance
  2. 2.Department of Hepatic Surgery and TransplantationHospital of HautepierreStrasbourgFrance

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