ABSTRACT
A 90-years-old man comes to the emergency department with diffuse abdominal pain and fever three days. On physical examination, the abdomen is soft and depressible with air-fluid sound present and bilateral reductible inguinal hernias. A mass is palpated at the level of the roght hypochondrium with a positive Murphy´s sign whitout signs of peritoneal irritation. An abdominal CT with intravenous contrast is requested due to the suspicion of acute abdominal pathology, observing cholelithiasis and a markedly distended gallbladder with torsion. (AU)
Subject(s)
Humans , Male , Aged, 80 and over , Hypertension , Anemia , Appendectomy , Nausea , GallbladderABSTRACT
83-year-old woman with palpable lesion on the left breast. Mammography shows a single nodule with well-defined borders, and ultrasound a complex cyst with solid areas that biopsy resulted in an encapsulated papillary breast carcinoma. Two axillary lymph nodes were affected. (AU)
