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Previous Volume 358:2804-2811 June 26, 2008 Number 26 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.

A previously well 42-year-old woman presents with severe pain in the right upper quadrant, which started 15 hours earlier. She has previously noted episodic pain in that location that lasted for up to 2 hours but has not sought medical advice. She has had one episode of vomiting with the current attack. On physical examination, her temperature is 38.5°C, and the heart . . . [Full Text of this Article]

The Clinical Problem

Pathogenetic Features

Strategies and Evidence

Diagnosis

Imaging

Diagnosis and Grading

Treatment

            Timing of Cholecystectomy

            Antibiotic Therapy

            Percutaneous Cholecystostomy

Guidelines

Areas of Uncertainty

Conclusions and Recommendations

Source Information

From the Section of Hepatobiliary–Pancreatic Surgery, Washington University in St. Louis and Barnes–Jewish Hospital, St. Louis.

Address reprint requests to Dr. Strasberg at Box 8109, 660 Euclid Ave., St. Louis, MO 63110, or at strasbergs@wustl.edu.

This article has been cited by other articles:

• Stoker, J., van Randen, A., Lameris, W., Boermeester, M. A. (2009). Imaging Patients with Acute Abdominal Pain. Radiology 253: 31-46 [Abstract] [Full Text]