Peds-Biliary - Pericholecystic fluid
Caption
Healthy 13 year old presented with 2 days of epigastric and RUQ pain, with tenderness in the RUQ on exam. Biliary POCUS was performed with a low frequency, curvilinear transducer. She had a positive Murphy's sign. In the transverse view, the gallbladder is demonstrated with a thickened wall and with adjacent hypoechoic collections suggestive of pericholecystic fluid. She underwent ERCP, was found to have a common bile duct stone, and ultimately went for cholecystectomy. Contributor: Allie Grither, MD, St. Louis Children's Hospital (Washington University in St. Louis), @AGPemMD