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JAMA Surgery Clinical Challenge
September 2013

Gallbladder Disease in an Elderly Patient

Author Affiliations
  • 1Department of Surgery, University of Arkansas for Medical Science, Little Rock
JAMA Surg. 2013;148(9):891-892. doi:10.1001/jamasurg.2013.309

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).