Usefulness of ultrasonography in the emergency department to a patient with recurrent abdominal pain

Results 81 year old woman, was admitted to the emergency room after several consultations at its health center by right upper quadrant pain of several weeks duration, accompanied by fatigue, weight loss and a feeling of abdominal distention. On examination he had preserved the vital signs and had only found tenderness in the right upper quadrant, without signs of peritoneal irritation. Analytical emergency were unremarkable. Given the persistence of pain the EP made an ultrasound exam observing a large mass occupying the gallbladder bed, hypoechoic lesions in liver parenchyma, and perihepatic free fluid.