Other liver functions including SGOT, SGPT and alkaline phosphatase are within normal limits. Discuss the pathophysiology involved in progression of biliary colic to acute cholecystitis. Discuss the accuracy and appropriate role for oral cholecystography, ultrasonography, nuclear medicine biliary study, ERCP and percutaneous transhepatic cholangiography in evaluation of biliary tract disease. List common complications of laparoscopic cholecystectomy. Her temperature is 101.2 F with otherwise stable vital signs.
Abdominal series shows air in the wall of the gallbladder.
She now presents 8 weeks postoperatively with right upper quadrant pain and nausea, the same symptoms she had prior to her cholecystectomy. She has no symptoms of biliary tract disease. She has had an ultrasound that reported no gallstones and an EGD negative for ulcer disease.