Essentials of Diagnosis:-

• Sudden, severe, right upper quadrant abdominal pain radiating to scapula.
• Nausea, vomiting, fever, jaundice, leucocytosis.
• History of such recurrent attacks persisting for hours.
• Chills with gram-ve shock in cases of acute suppura-
tive cholangitis.
• Enlarged tender liver in some cases.
• Laboratory investigations show features of obstructive jaundice with hypoprothrombinemia.


-Cholecystectomy and choledochostomy.

-Basketting and ECSWL.

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