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13 Possible Causes for Direct Bilirubin Increased, Ileus, Right Flank Pain

  • Acute Cholecystitis

    Symptomatic nephrolithiasis Colic-type pain but location should be below right upper quadrant, more in the flank 16.[] In the uncomplicated cholecystitis, usually there are no increase of serum total and direct bilirubin and alkaline phosphatase (cholestasis indexes).[] There was one readmission for ileus. CONCLUSION: Severity grading of AC is not the sole determinant of early LC. Patient comorbidity also impacts clinical decision.[]

  • Cholelithiasis

    Charcot triad: fever, jaundice, right upper quadrant pain Reynolds pentad: fever, jaundice, right upper quadrant pain, hemodynamic instability, mental status changes; classically[] Two of the patients presented with acute cholangitis and 2 presented with bowel obstruction due to gallstone ileus.[] Biliary fistulas may lead to gall stone ileus if the fistula is duodenal.[]

  • Choledocholithiasis

    After treatment, not right flank pain relief, so the inventors to seek treatment.[] Still, the most statistically significant and useful predictor found in our study was a ratio of direct bilirubin to total bilirubin greater than 30%.[] Rarely, in cases of severe inflammation, gallstones may erode through the gallbladder into adherent bowel potentially causing an obstruction termed gallstone ileus.[]

  • Pyogenic Liver Abscess

    bilirubin, lactate dehydrogenase and aspartate aminotransferase.[] In both of the patients, ileus developed about two to three weeks after the diagnosis of liver abscess.[] […] hyperplastic polyp過形成性ポリープ hypertrophic pyloric stenosis肥厚性幽門狭窄 hypochondrium 季肋部 hypotonic duodenography低緊張性十二指腸造影[法] i idiopathic portal hypertension (IPH)特発性門脈圧亢進症 ileum回腸 ileus[]

  • Biliary Peritonitis

    ., right heart failure can occur in children with nephrotic syndrome Presentation Symptoms altered mental status abdominal pain diarrhea Physical exam fever diffuse abdominal[] Laboratory data showed increased white blood cells of 15.3   10 3 /μl, serum C-reactive protein of 21.0 mg/dl, total bilirubin of 3.4 mg/dl, direct bilirubin of 2.4 mg/dl,[] The latter occurrence is particularly difficult to diagnose early, as abdominal pain and ileus paralyticus are considered normal in patients who have just undergone abdominal[]

  • Hepatic Infarction

    Two months later, she experienced right hypochondralgia and right flank pain.[] Hyperbilirubinemia : Investigate if caused by direct (conjugated) or indirect (unconjugated) fraction of bilirubin.[] Massive hepatic infarction developed characterized clinically by fever, coma, ascites, ileus, jaundice, and renal failure; and biochemically by markedly elevated SGOT and[]

  • Cholecystitis

    Symptomatic nephrolithiasis Colic-type pain but location should be below right upper quadrant, more in the flank 16.[] […] in direct bilirubin, a large increase in liver enzymes levels, and anti-HIV serology and dengue fever antigen both negative.[] Nothing is given orally, and nasogastric suction is instituted if vomiting or an ileus is present.[]

  • Duodenal Fistula

    Intermittent right flank pain persisted during follow-up in the outpatient department. Bile content discharge from the PCNL wound was observed later.[] Laboratory data showed leucocytosis (12000/cmm) deranged liver function tests with increased ast (61 u/l), alt (134 u/l) and alp (292 u/l) with total and direct bilirubin[] The purpose of this case report is to discuss a rare case of gall stone ileus associated with cholecysto-duodenal fistula.[]

  • Hydrops of the Gallbladder

    Symptomatic nephrolithiasis Colic-type pain but location should be below right upper quadrant, more in the flank 16.[] increase in WBC increase serum Bilirubin (direct) Alkaline Phosphatase 33 What positions should be used for a GB exam? 34 What happens if stones do not move?[] If the stone is large, this may result in obstruction of the distal small bowel, leading to gallstone ileus.[]

  • Cystic Duct Obstruction

    Case presentation Here, we report a case of a 59-year-old woman who presented with right flank pain.[] When is it increased?[] A gallstone passing into the small intestine may cause a blockage in the ileum – gallstone ileus.[]

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