http://archsurg.jamanetwork.com/ en-us Mon, 31 Dec 2012 00:00:00 GMT Tue, 01 Jan 2013 00:50:19 GMT Silverchair editor@archsurg.jamanetwork.com webmaster@archsurg.jamanetwork.com http://archsurg.jamanetwork.com/article.aspx?articleID=404872 Mon, 18 May 2009 00:00:00 GMT Costi R, Bataille N, Cazaban A, et al. <span class="paragraphSection">An otherwise healthy 68-year-old white man presented with a 4-day history of hyperthermia, a 6/10 dull pain (analogic pain scale) at the right superior abdominal quadrant, and nausea. Physical examination revealed a temperature of 40.1°C and mild right subcostal tenderness without rebound. Laboratory testing showed a perturbation of hepatic enzymes, an alteration of renal function, and an elevated white blood cell count. Ultrasound revealed the presence of gallbladder stones and of a round hypoechogenic image in the fourth hepatic segment 5 cm in diameter; a computed tomographic (CT) scan of the abdomen confirmed the presence of a hypodense image in the liver and revealed the presence of gas in the gallbladder (<a href="#sif80004f1" class="reflinks">Figure 1</a>).</span> 144 5 481 482 10.1001/archsurg.2009.64-a http://archsurg.jamanetwork.com/article.aspx?articleID=404872