A 50-year-old patient complains about having pain attacks in the right subcostal area for about a year. He pain arises mainly after taking fattening food. Over the last week the attacks occurred daily and became more painful. On the 3rd day of hospitalization the patient presented with icteritiousness of skin and scleras, light-colored feces and dark urine. In blood: neutrophilic leukocytosis - 13,1 × 109/l, ESR - 28 mm/h. What is the most likely diagnosis?

Answer options

1. Hypertensive dyskinesia of gallbladder
2. Chronic recurrent pancreatitis
3. Chronic cholangitis, exacerbation stage
4. Fatty degeneration of liver
5. Chronic calculous cholecystitis

Explanation

A 50-year-old patient complains about having pain attacks in the right subcostal area for about a year. He pain arises mainly after taking fattening food. Over the last week the attacks occurred daily and became more painful. On the 3rd day of hospitalization the patient presented with icteritiousness of skin and scleras, light-colored feces and dark urine. In blood: neutrophilic leukocytosis -13,1 • 109/l, ESR - 28 mm/h. What is the most likely diagnosis? Light-colored feces and dark urine indicate obstructive jaundice (fictitiousness (icteritiousness) of skin and scleras). Increase ESR and leucocytosis indicate inflammation. Right subcostal pain for one year means chronic.