Xanthogranulomatous Cholecystitis as the Cause of Abdominal Pain in a 15-Year-Old Boy

A 15-year-old boy with a history of autism spectrum disorder was admitted with abdominal pain. He originally had presented 2 weeks earlier with abdominal pain but was discharged after ruling out appendicitis by an ultrasound. He returned with ongoing pain in the right upper quadrant (RUQ) with postprandial vomiting and fever. Vitals were as follows: blood pressure, 101/57 mm Hg; pulse rate, 104/min; temperature, 99.1 °F; and body mass index, 18.3 kg/m2. Abdominal examination showed a firm and tender RUQ with negative Murphy’s sign.
Source: Clinical Gastroenterology and Hepatology - Category: Gastroenterology Authors: Tags: Electronic Image of the Month Source Type: research