CASE 604: E M S of GALLBLADDER NECK STONE, Dr PHAN THANH HẢI, Dr LÊ THANH LIÊM, MEDIC MEDICAL CENTER, HCMC,VIETNAM

Male patient 50yo with pain at right costal border in coughing.

Emergency medical sonography (EMS) detects small stone # 6mm at the GB neck and some cholesterol polyps. GB size = 76x37mm, slight edema of  GB wall with hypervascularization due to inflamation. Common bile duct is not dilated.

MSCT non CE confirmed stone at the GB neck and GB wall thickening.

Laparocholecystectomy removed gallbladder with many stones.

CONCLUSION= Emergency medical sonography is an  efficient tool for diagnosis  of a RUQ pain case but that is non radiation in comparison to MSCT.