RIGHT upper quadrant pain occurs frequently after the fatty meal during oral cholecystography. These symptoms usually subside but occasionally persist for more than 24 hours. In the following case, the patient's symptoms persisted until acute gangrenous cholecystitis developed. The diagnosis was suggested preoperatively by radiographs of the dye-filled gall bladder. We have been unable to find a similar case reported in the literature.
REPORT OF A CASE
L. A., a 52-year-old white woman, was admitted to U. S. Army Hospital, Fort Belvoir, Va., with right upper quadrant pain of four days' duration. The patient had been told three years prior to admission (after a cholecystogram in Kansas) that she had gall-bladder disease. By carefully following her diet she had been able to avoid severe attacks. One week prior to admission she reported to the outpatient clinic for a general check-up, part of which included a cholecystogram with 3 gm. of