A 45 year old female presents with pain in abdomen on right side, after eating meals and distension as well. She also complains of right hypochondrium fullness.

 A 45 year old female presents with pain in abdomen on right side, after eating meals and distension as well. She also complains of right hypochondrium fullness. Her Blood pressure is 150/80 mmHg.

You decide to perform an Ultrasound of abdomen which is shown below:

1. What are the findings in the Ultrasound?

2. What further investigations should be performed?

3. What should be the management options in this patient?

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1. What are the findings in the Ultrasound?

Ultrasound findings:

A single 26 mm gall stone

Gall bladder wall thickness of 2 mm suggestive of chronic inflammation.

Fatty liver

2. Further investigations:

As patient has high Blood pressure as well with gall and fatty liver, blood cholesterol levels and Random blood sugar levels should also be done.

In addition, ECG, Chest X ray and pre operation procedures should be organized as patient may require surgery after a surgical input . Anesthesia fitness maybe needed as well.

3. Management options:

Surgery maybe required, hence surgical input is important for cholecystectomy.

Opiate analgesics and antiemetics with smooth muscle relaxants would be beneficial management options.

Blood pressure should be controlled and healthy life style should be adopted.

Fatty meals should be avoided and high cholesterol and sugar diets should also be avoided.