Woman 32 yo, 3 days ago, fever and pain at
right upper quadrand of abdomen with MURPHY SIGN POSITIVE
in clinical palpation.
Report of ultrasound in emergency from a province hospital was
cholecystitis necrosis and peritonitis ( US picture).
At MEDIC, reviewed ultrasound shows US 1: CDI revealed big gallbladder and
edema of the wall, no stone, no perforation. CBD is no dilatation,
no hypervascular.
US 2: fluid collecting in Morrison’s space extending to
right iliac fossa.
US 3: normal scanning
at pancreas area.
Patient reports painful in pressing of ultrasound probe over gallbladder area .
Sonologist suggested edema of the gallbladder wall and
ascites maybe due to hemorragic fever reaction.
Blood tests confirmed low WBC, low platelets, and Dengue
test IgG positive.
Based on ultrasound
picture and blood tests, diagnosis was infected Dengue; gallbladder edema only due to reaction. And the management
for the case is medical follow-up in progress of disease.
Reference:
Acute Acalculous Cholescystitis and Ascites [Dengue Fever stage III]
Hình ảnh siêu âm sốt xuất huyết Dengue
Reference:
Acute Acalculous Cholescystitis and Ascites [Dengue Fever stage III]
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