USMLE Forums banner
1 - 9 of 9 Posts

·
Registered
Joined
·
590 Posts
Discussion Starter · #1 ·
A 55-year-old female presents to the Emergency Department with constant moderate upper abdominal pain, radiating to the right scapula, accompanied by severe nausea. Ultrasound reveals pericholecystic fluid and thickening of the gallbladder wall, along with several stones in the gallbladder and two lodged in the ____________.
  • Common bile duct
  • Common hepatic duct
  • Cystic duct
  • Pancreatic duct
  • Sphinctre of Oddi
 

·
Registered
Joined
·
25 Posts
the answer is shouting

Please do not tell me it is not the cystic duct.
it is a straightforward Q. and i thought a lot trying to find another answer other than the cystic duct but i coudln't:sorry:
 

·
Registered
Joined
·
20 Posts
I guess its the cystic duct becos of the pericholecystic collection and the thickened gall bladder wall, else it could as well be in the common bile duct or is there any other explanation
 

·
Registered
Joined
·
590 Posts
Discussion Starter · #9 ·
I guess its the cystic duct becos of the pericholecystic collection and the thickened gall bladder wall, else it could as well be in the common bile duct or is there any other explanation
You're exactly right - those are direct indications of cholecystitis, which is almost always (90%) caused by a stone in the cystic duct.:)
 
1 - 9 of 9 Posts
Top