Opinion statement
Patients with typical biliary colic, ie, episodic pain in the right upper abdominal quadrant with radiation to the right shoulder or right subscapular region, commonly have gallbladder stones. When a good-quality transabdominal ultrasonography fails to find gallstones, the clinical diagnosis remains uncertain, but a large portion of these patients will be found to have subtle gallbladder disease (acalculous or microcalculous) or other pancreatobiliary disease.
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Lehman, G.A. Right upper quadrant abdominal pain not due to gallstones. Curr Treat Options Gastro 3, 141–146 (2000). https://doi.org/10.1007/s11938-000-0007-x
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DOI: https://doi.org/10.1007/s11938-000-0007-x