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23 Possible Causes for Abdominal Rebound Tenderness, Gallbladder Tenderness, Murphy's Sign

  • Acute Cholecystitis

    These include gallbladder distension, wall thickening ( 3mm), gallbladder wall anechogenecity, intraluminal echoes, positive sonographic Murphy’s sign [which is maximal tenderness[sonoworld.com] Physical examination revealed a positive Murphy's sign. Laboratory data showed leukocytosis and mild increasement of liver enzymes.[ncbi.nlm.nih.gov] Abdominal examination revealed tenderness, mild muscle guarding with mild rebound in the epigastric region and right hypochondrium; the rest of the abdomen was soft and lax[ispub.com]

  • Gallbladder Empyema

    The initial diagnosis of acute cholecystitis should be made based on clinical criteria, and in the setting of very high fever, abdominal pain that is accompanied by rebound[symptoma.com] As the condition of empyema gallbladder progresses, empyema from the gallbladder might be associated with a palpable distended gallbladder that is markedly tender on even[laparoscopyhospital.com] sign – Gallstones usually (but not always) present • Empyema CECT : Distended GB with intraluminal contents 15 HU – Wall thickening with pericholecystic fat stranding and[clinicalgate.com]

  • Omental Infarction

    On examination, the patient was tender and Murphy’s sign was elicited.[cureus.com] A 75-year-old woman presented with acute lower abdominal and left flank pain with rebound tenderness.[ncbi.nlm.nih.gov] She had severe generalized abdominal tenderness with rebound tenderness and guarding, mainly on the right lower abdominal quadrant, with all other system examinations normal[dovepress.com]

  • Liver Abscess

    There was no rebound tenderness. A lesion with heterogeneous radiodensity was noted in the right upper abdomen on chest radiography (Panel A, arrowheads).[nejm.org] Ultrasound (US) shows dilated CBD to 11 mm, cholelithiasis and gallbladder wall thickness.[sages.org] On physical exam RUQ tenderness, guarding, rebound tenderness, hepatomegaly and occasional jaundice can be appreciated.[bjmp.org]

  • Pylephlebitis

    During his evaluation, the surgeon found no tenderness or distension on physical exam, but noted the abnormal lab findings, as well as the gallbladder wall thickening on ultrasound[westjem.com] Her abdomen was soft, mildly distended, and tender to palpation in the epigastrium without Murphy’s sign or rebound tenderness.[jmedicalcasereports.biomedcentral.com] Physical examination showed diffuse abdominal pain without tenderness or rebound tenderness. Laboratory values: 16,400 leukocytes/mm 3 with neutrophilia.[scielo.isciii.es]

  • Cholecystitis

    Pain- may be intermittent or steady [6] Rigors with rebound tenderness or ileus Interscapular pain [6] Heartburn, belching, flatulence, epigastric discomfort, and food intolerance[physio-pedia.com] These include gallbladder distension, wall thickening ( 3mm), gallbladder wall anechogenecity, intraluminal echoes, positive sonographic Murphy’s sign [which is maximal tenderness[sonoworld.com] […] a positive sonographic Murphy's sign.[ultrasoundtraining.com]

  • Chronic Cholecystitis

    Pain- may be intermittent or steady [6] Rigors with rebound tenderness or ileus Interscapular pain [6] Heartburn, belching, flatulence, epigastric discomfort, and food intolerance[physio-pedia.com] Cholecystitis is inflammation of the wall of gallbladder that results in pain in right upper quadrant of abdomen along with tenderness.[tandurust.com] On physical examination, the right upper abdomen was tender to palpation with a positive Murphy's sign.[ncbi.nlm.nih.gov]

  • Gallstone Ileus

    The imaging appearance of cholecystis consists of an enlarged hydropic (meaning non-compressible) gallbladder with a thickened wall in the region of maximum tenderness (the[radiologyassistant.nl] Three months later, the patient re-presented with generalised abdominal pain, guarding and rebound tenderness.[ncbi.nlm.nih.gov] Abdominal examination revealed rigidity, guarding, rebound tenderness and absent bowel sounds. An erect skiagram showed dilated loops of small bowel.[najms.org]

  • Perforated Diverticulum

    Upon physical examination, the patient was tender to palpation in the right upper abdominal quadrant with rebound tenderness.[synapse.koreamed.org] Symptoms such as abdominal pain and tenderness are common to many diseases involving several organ systems such as diseases of the appendix, gallbladder, stomach, small bowel[fascrs.org] Her abdomen was distended, with marked tenderness and guarding in the right upper quadrant, and Murphy’s sign was positive.[academic.oup.com]

  • Gallbladder Perforation

    Patients with type 1 gallbladder perforation usually present with signs of peritoneal irritation such as extensive abdominal tenderness, guarding, and rebound tenderness.[archintsurg.org] Gull et al. [2] 4 day Male Abdominal distension, green discoloration to the abdomen, tenderness Not stated Gallbladder neck Primary repair with drain in the sub hepatic pouch[medcraveonline.com] Murphy's sign is sensitive, but not specific for cholecystitis. [15] Yellowing of the skin (jaundice) may occur but is often mild.[en.wikipedia.org]