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An 89-year-old woman presented to her geriatrician with abdominal pain for 2 days. The pain was localized to her right abdomen, both upper and lower quadrants, with acute tenderness to palpation. She had some nausea and vomiting. Ultrasonographic findings gave concern for acute cholecystitis. A computed tomographic scan was ordered by her primary care physician after admission to the hospital (Figure).
Khandelwal C. Gallbladder Disease in an Elderly Patient. JAMA Surg. 2013;148(9):891-892. doi:10.1001/jamasurg.2013.309